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Alaska rates for HCPCS 33814

Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,238.72 / $11,748.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,677.35 / $10,232.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,025.60 / $8,511.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $8,317.64 / $12,022.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,479.11 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $6,165.95 / $9,549.93