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Maine 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
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