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Arizona rates for HCPCS 33694

Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.31 / $2,228.03 / $9,934.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.66 / $1,899.55 / $2,374.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.26 / $2,198.71 / $3,367.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.00 / $2,373.36 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.79 / $2,163.61 / $22,284.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.74 / $2,164.08 / $3,685.99