go back

Vermont rates for HCPCS 33694

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.91 / $2,396.91 / $2,396.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.52 / $3,130.19 / $6,613.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.52 / $3,130.19 / $6,613.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,513.34 / $2,688.88 / $8,117.01