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Idaho rates for HCPCS 33692

Compl Rpr Tetralogy Fallot W/O Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.96 / $2,528.23 / $5,778.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,655.99 / $3,251.29 / $3,629.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,110.80 / $3,112.63 / $7,396.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,073.14 / $3,507.14 / $3,725.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,924.11 / $3,258.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,507.14 / $3,829.71 / $3,882.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.74 / $2,551.06 / $4,195.06