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New York rates for HCPCS 33692

Complete repair tetralogy of Fallot without pulmonary atresia;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,864.53 / $4,648.00 / $10,686.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.53 / $2,459.44 / $4,375.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,750.00 / $16,411.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.55 / $2,102.67 / $4,531.85
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,725.82 / $2,725.82 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,725.82 / $2,725.82 / $2,725.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.40 / $2,203.40 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.28 / $3,140.86 / $7,054.85
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $3,420.69 / $14,827.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.41 / $2,736.55 / $3,945.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.63 / $1,839.88 / $3,118.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $2,203.40 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,982.07 / $3,145.98 / $7,054.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.29 / $2,602.08 / $7,043.49
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,409.79 / $2,409.79 / $6,707.88
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.63 / $2,748.28 / $4,814.87