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Hawaii rates for HCPCS 33692

Complete repair tetralogy of Fallot without pulmonary atresia;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,344.23 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $2,238.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,691.53 / $3,235.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,089.30 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $3,019.95
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $2,137.96 / $3,162.28