go back

Louisiana 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
$900.00 / $2,716.01 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.31 / $2,716.01 / $2,962.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,688.04 / $3,222.87 / $3,522.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.09 / $2,612.75 / $3,549.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,849.45 / $2,906.12 / $4,233.39