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Ohio 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
$1,607.13 / $6,582.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.07 / $1,607.13 / $3,057.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.98 / $770.98 / $770.98
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
$1,220.78 / $1,723.45 / $2,881.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.50 / $1,401.50 / $2,040.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.42 / $1,511.42 / $1,901.77
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
$1,332.76 / $2,129.73 / $2,895.61
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.41 / $2,154.81 / $3,024.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.99 / $1,254.52 / $1,919.64
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
$1,487.15 / $1,908.11 / $3,235.40