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North Carolina 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
$1,615.00 / $2,056.42 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.78 / $2,194.40 / $5,156.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.54 / $4,106.60 / $5,339.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.35 / $3,167.08 / $5,217.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.78 / $2,616.00 / $4,699.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.50 / $2,607.50 / $2,607.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,254.70 / $3,254.70 / $3,254.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.83 / $2,730.35 / $5,331.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $46,336.16 / $55,778.84
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,881.00 / $20,881.00 / $22,284.20