go back

Tennessee 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
$2,258.00 / $3,937.78 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.68 / $2,227.48 / $3,003.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,302.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.96 / $2,420.31 / $4,021.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.25 / $2,758.04 / $4,031.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $54,016.56 / $55,410.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,602.00 / $19,602.00 / $19,602.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.61 / $2,652.82 / $4,363.85