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Kentucky rates for HCPCS 33692

Complete repair tetralogy of Fallot without pulmonary atresia;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,273.23 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.92 / $2,149.94 / $2,588.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,755.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.64 / $1,832.97 / $3,013.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,835.70 / $2,502.56 / $2,886.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.32 / $2,502.56 / $3,575.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.40 / $2,203.40 / $2,712.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,040.96 / $2,783.22 / $4,275.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.74 / $2,596.40 / $3,835.99