go back

Massachusetts rates for HCPCS 33692

Complete repair tetralogy of Fallot without pulmonary atresia;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $8,511.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,467.37 / $7,244.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,818.38 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,981.07 / $6,918.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,818.38 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,511.89 / $4,265.80
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,630.27 / $4,897.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,467.37 / $7,244.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,818.38 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,019.95 / $5,623.41