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Alaska rates for HCPCS 33767

Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,862.09 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,089.30 / $10,964.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,265.80 / $9,549.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,623.41 / $7,943.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $7,762.47 / $11,220.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,380.38 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $5,754.40 / $8,912.51