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Utah 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
$2,884.03 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,238.72 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,754.23 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $10,715.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $4,073.80 / $10,471.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $4,365.16 / $6,025.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,019.95 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,398.83 / $3,981.07