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North Dakota rates for HCPCS 33692

Compl Rpr Tetralogy Fallot W/O Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.96 / $1,892.96 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.38 / $1,892.96 / $1,960.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,704.50 / $4,031.34 / $4,763.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.88 / $3,378.60 / $5,453.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.96 / $2,586.60 / $5,678.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.52 / $3,808.68 / $4,849.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.15 / $4,056.64 / $4,849.17