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Alaska rates for HCPCS 33677

Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,040.13 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,701.40 / $11,601.30 / $11,601.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,105.78 / $7,105.78 / $7,105.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,539.16 / $11,601.30 / $16,589.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.28 / $13,013.70 / $16,660.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,746.25 / $8,985.65 / $13,104.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,539.16 / $11,601.30 / $16,589.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.91 / $9,135.00 / $13,959.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,684.62 / $8,526.93 / $13,127.07