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Idaho rates for HCPCS 33694

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

Facilitymedian $5,495 · 10th–90th $2,818–$10,2330%20%10th90th$5,495Professionalmedian $2,512 · 10th–90th $1,950–$5,1290%10%20%10th90th$2,512$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,511.89 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $7,762.47 / $11,220.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,630.78 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,754.23 / $3,630.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,890.45 / $5,754.40
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,467.37 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,801.89 / $4,073.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $3,630.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,691.53 / $4,073.80