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Idaho rates for HCPCS 33767

Shunt Superior Vena Cava Pulm Artery Both Lungs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.15 / $1,849.65 / $4,214.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.07 / $2,367.55 / $2,643.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.18 / $2,281.42 / $5,394.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.41 / $2,560.91 / $2,722.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,139.01 / $2,383.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,560.91 / $2,798.63 / $2,835.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.62 / $2,000.98 / $3,046.58