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California rates for HCPCS 33697

Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.79 / $10,061.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.50 / $2,097.79 / $8,526.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.00 / $14,348.00 / $32,242.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,791.11 / $3,812.16 / $7,121.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $98.70 / $13,719.51
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.59 / $2,355.29 / $5,157.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.42 / $2,553.05 / $6,262.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.19 / $2,089.88 / $2,716.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.89 / $2,407.39 / $4,425.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $48,813.18 / $60,275.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,818.00 / $21,818.00 / $21,818.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,019.84 / $2,710.97 / $4,108.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.42 / $2,553.05 / $5,796.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,491.37 / $6,491.37 / $6,491.37
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.19 / $2,314.61 / $3,244.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.73 / $2,440.71 / $5,725.68