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Utah rates for HCPCS 33692

Compl Rpr Tetralogy Fallot W/O Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.03 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.71 / $2,450.03 / $5,778.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.94 / $2,833.06 / $3,596.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.26 / $1,389.62 / $1,887.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.37 / $3,465.71 / $4,626.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.78 / $2,227.15 / $4,081.68