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Oregon 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

Facilitymedian $3,981 · 10th–90th $2,630–$5,1290%20%10th90th$3,981Professionalmedian $3,162 · 10th–90th $2,042–$5,8880%10%10th90th$3,162$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,897.79 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,570.40 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,073.80 / $5,623.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,265.80 / $5,011.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,981.07 / $5,623.41
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,981.07 / $6,456.54
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,801.89 / $4,073.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,801.89 / $5,623.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $3,801.89 / $5,495.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,011.87 / $6,309.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $10,232.93 / $31,622.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,168.69 / $5,888.44