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Alaska rates for HCPCS 33688

Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,417.06 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,587.65 / $10,404.59 / $10,404.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,378.23 / $6,378.23 / $6,378.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,274.88 / $10,404.59 / $14,878.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,482.43 / $11,640.30 / $14,934.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,928.75 / $8,037.35 / $12,220.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,274.88 / $10,404.59 / $14,878.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.10 / $8,190.00 / $12,514.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,102.58 / $7,653.87 / $11,781.61