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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.21 / $2,145.21 / $2,308.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.94 / $2,442.67 / $2,867.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.22 / $2,269.94 / $5,022.75