go back

Maine rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.50 / $2,308.77 / $3,066.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.31 / $2,617.14 / $3,880.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,523.73 / $3,066.61 / $4,295.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,244.39 / $2,498.34 / $3,887.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.50 / $3,009.24 / $3,633.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.26 / $2,999.97 / $4,434.30