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Utah 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
$2,187.76 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,041.74 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $8,317.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,019.95 / $8,128.31
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $3,311.31 / $4,466.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,238.72 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $2,951.21