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Colorado 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
$2,551.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.31 / $2,176.58 / $3,102.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,990.00 / $19,587.00 / $44,198.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.73 / $2,593.48 / $3,756.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.54 / $2,896.87 / $3,834.80
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,176.58 / $2,582.38 / $3,656.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.12 / $2,840.62 / $3,652.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $8,565.00 / $14,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.81 / $3,015.11 / $5,709.50