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West Virginia rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,139.54 / $2,139.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.50 / $2,181.73 / $2,532.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.81 / $2,475.48 / $2,697.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,397.41 / $2,397.41 / $2,397.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.00 / $2,316.00 / $2,316.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.95 / $3,046.38 / $19,430.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.68 / $2,732.77 / $3,623.22