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West Virginia rates for HCPCS 33692

Complete repair tetralogy of Fallot without pulmonary atresia;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,039.54 / $2,039.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.54 / $2,149.94 / $2,405.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,051.19 / $2,356.15 / $2,567.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,281.84 / $2,281.84 / $2,281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.40 / $2,203.40 / $2,203.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.99 / $2,730.78 / $17,095.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.81 / $2,364.11 / $3,273.73