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California rates for HCPCS 33684

Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.73 / $10,051.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.48 / $1,875.73 / $9,617.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.00 / $14,348.00 / $32,242.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.94 / $3,574.29 / $6,373.28
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $98.70 / $13,858.12
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.24 / $2,007.92 / $4,474.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.92 / $2,309.28 / $5,667.05
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.82 / $1,924.90 / $2,596.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.41 / $2,215.28 / $4,072.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $44,868.72 / $55,410.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,602.00 / $19,602.00 / $19,602.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,837.26 / $2,454.96 / $3,750.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.02 / $2,299.52 / $5,255.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,967.33 / $5,967.33 / $5,967.33
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.82 / $2,182.71 / $3,274.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,159.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.28 / $2,227.69 / $4,730.10