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New York rates for HCPCS 33681

Closure of single ventricular septal defect, with or without patch;

Facilitymedian $6,457 · 10th–90th $2,291$14,4540%10%10th90th$6,457Professionalmedian $2,291 · 10th–90th $1,660$5,6230%20%10th90th$2,291$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,801.89 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,344.23 / $5,888.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $10,964.78 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,995.26 / $4,897.79
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $7,762.47 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,467.37 / $8,912.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,548.13 / $6,918.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,951.21 / $3,890.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,089.30 / $3,311.31
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $2,398.83 / $2,951.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,073.80 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,630.27 / $6,606.93
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,290.87 / $6,760.83
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,290.87 / $6,760.83