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Idaho rates for HCPCS 33917

Repair of pulmonary artery stenosis by reconstruction with patch or graft

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
$1,413.41 / $1,898.61 / $4,317.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,979.97 / $2,423.73 / $2,705.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.31 / $2,344.35 / $5,527.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.59 / $2,629.60 / $2,803.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,202.73 / $2,454.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,629.60 / $2,877.95 / $2,911.33
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
$1,400.79 / $2,018.47 / $3,232.78