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Hawaii rates for HCPCS 33665

Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.81 / $1,845.81 / $1,845.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,210.25 / $2,210.25 / $2,404.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,590.51 / $2,835.04 / $3,504.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.02 / $2,121.84 / $2,475.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.56 / $2,276.26 / $2,956.35
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,059.01 / $2,960.60