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Alaska rates for HCPCS 33692

Complete repair tetralogy of Fallot without pulmonary atresia;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,626.06 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.71 / $10,806.02 / $10,806.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,624.93 / $6,624.93 / $6,624.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,363.50 / $10,806.02 / $15,452.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,656.28 / $12,091.80 / $15,512.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,197.50 / $8,349.10 / $12,210.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,363.50 / $10,806.02 / $15,452.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.26 / $8,503.50 / $12,992.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,299.94 / $7,949.91 / $12,236.00