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Utah 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
$2,951.21 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,818.38 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $10,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,168.69 / $9,772.37
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $4,466.84 / $6,025.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,454.71 / $3,981.07