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Hawaii rates for HCPCS 33676

Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)

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
$1,865.60 / $1,865.60 / $1,865.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,319.16 / $2,319.16 / $2,334.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,915.11 / $3,190.27 / $3,943.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.44 / $2,241.21 / $2,614.75
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
$1,905.03 / $2,407.21 / $3,125.15
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,728.14 / $2,582.05