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Ohio rates for HCPCS 33767

Shunt Superior Vena Cava Pulm Artery Both Lungs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.99 / $6,582.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.15 / $1,583.93 / $4,102.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.00 / $5,945.00 / $29,406.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.75 / $1,703.65 / $2,833.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.23 / $1,364.23 / $1,986.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.23 / $1,471.23 / $1,799.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.38 / $2,045.43 / $2,973.64
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.35 / $2,073.09 / $3,045.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.99 / $1,222.71 / $1,871.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.24 / $1,895.14 / $2,909.25