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Washington rates for HCPCS 33622

Reconstruction Complex Cardiac Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,255.83 / $7,920.26 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,340.21 / $4,255.83 / $9,351.27
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,550.39 / $100,337.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,678.64 / $7,947.66 / $29,638.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,241.71 / $6,683.25 / $9,948.04
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,203.54 / $7,132.55 / $9,125.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,175.24 / $7,280.12 / $9,159.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.45 / $921.88 / $7,144.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,142.47 / $6,367.13 / $7,111.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,550.39 / $4,550.39 / $4,601.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,815.14 / $7,639.44 / $9,143.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,640.79 / $6,620.02 / $8,916.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $3,323.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,383.72 / $6,216.46 / $9,693.61