go back

Tennessee 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
$2,258.00 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.88 / $2,313.17 / $4,066.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,936.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.86 / $2,514.90 / $4,338.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.32 / $2,916.17 / $4,165.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55,778.84 / $57,231.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,881.00 / $22,284.20 / $22,284.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.66 / $3,019.07 / $4,705.00