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Open-Heart Closure Of One Hole Between The Ventricles

Kentucky rates for HCPCS 33681

Open-heart surgery that closes a single hole in the muscular wall between the heart's two lower pumping chambers. The surgeon may stitch the hole directly or cover it with a patch, depending on its size and position. It is done for a defect that is usually present from birth.

Facilitymedian $5,888 · 10th–90th $851$11,2200%10%20%10th90th$5,888Professionalmedian $2,138 · 10th–90th $1,698$3,3110%20%10th90th$2,138$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,454.71
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,290.87
Typical High
$3,311.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,949.84
Typical High
$3,019.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$2,754.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,090.30
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$11,748.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$4,466.84
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$3,630.78