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Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.31 / $1,821.31 / $1,821.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,181.85 / $2,181.85 / $2,372.06
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,799.84 / $3,064.11 / $3,788.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.03 / $2,094.58 / $2,443.67
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
$1,780.39 / $2,246.78 / $2,918.31
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,092.69 / $2,981.50