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Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.22 / $1,829.22 / $1,829.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,294.69 / $2,294.69 / $2,423.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,029.47 / $3,315.42 / $4,098.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.78 / $2,326.67 / $2,714.45
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
$1,977.67 / $2,500.73 / $3,246.36
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,794.11 / $2,680.61