go back

West Virginia rates for HCPCS 33619

Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,852.49 / $2,852.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.49 / $3,021.50 / $3,401.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,881.77 / $3,300.10 / $3,595.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,196.00 / $3,196.00 / $3,196.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,095.22 / $3,095.22 / $3,095.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,587.71 / $3,995.00 / $25,033.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.67 / $3,315.24 / $4,787.25