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Utah rates for HCPCS 33768

Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $602.56 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $1,949.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $891.25 / $1,000.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $954.99 / $1,318.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,862.09
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
$407.38 / $537.03 / $870.96