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Iowa rates for HCPCS 33692

Complete repair tetralogy of Fallot without pulmonary atresia;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.71 / $2,885.41 / $2,885.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,027.95 / $4,582.68 / $5,143.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.54 / $3,025.98 / $5,078.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,950.00 / $4,443.53 / $7,305.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.21 / $4,345.50 / $7,792.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,099.97 / $4,326.43 / $5,680.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,099.97 / $4,190.64 / $5,680.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.81 / $4,345.50 / $6,068.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,035.18 / $3,842.00 / $4,520.00