go back

Wyoming 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
$1,932.00 / $1,932.00 / $1,932.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,417.00 / $4,981.00 / $5,977.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,724.39 / $2,769.38 / $4,631.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,305.48 / $6,177.59 / $7,892.29