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Washington, DC 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
$1,698.24 / $4,073.80 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,398.83 / $6,456.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,511.89 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $4,897.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,344.23 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,630.27 / $5,495.41