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Nebraska rates for HCPCS 33694

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

Facilitymedian $8,128 · 10th–90th $3,548–$25,1190%20%10th90th$8,128Professionalmedian $2,951 · 10th–90th $1,698–$6,4570%10%10th90th$2,951$2.0K$5.0K$10.0K$20.0K$50.0K

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
$3,548.13 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,290.87 / $9,772.37
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $27,542.29 / $53,703.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,754.23 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,715.35 / $57,543.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,801.89 / $22,387.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,365.16 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,466.84 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,548.13 / $5,011.87