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Utah rates for HCPCS 33622

Reconstruction Complex Cardiac Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $4,387.00 / $5,331.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,331.08 / $5,331.08 / $10,129.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,675.10 / $5,060.97 / $6,305.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.54 / $2,241.97 / $3,230.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,381.96 / $6,477.33 / $7,620.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,287.79 / $4,245.62 / $7,173.37