go back

New Hampshire rates for HCPCS 33692

Complete repair tetralogy of Fallot without pulmonary atresia;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,632.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.96 / $1,838.33 / $2,012.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.94 / $3,653.63 / $5,823.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,912.28 / $4,598.53 / $5,677.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,133.04 / $4,072.27 / $7,023.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,609.04 / $3,432.79 / $7,435.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.20 / $1,668.92 / $2,124.08