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Virginia 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
$1,641.26 / $4,796.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.00 / $1,641.26 / $3,226.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.53 / $1,669.81 / $2,327.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.72 / $1,674.37 / $3,203.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.17 / $1,943.68 / $3,308.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.18 / $1,617.82 / $1,995.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.93 / $2,022.66 / $3,003.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.00 / $2,066.52 / $3,316.49
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.30 / $1,944.18 / $4,462.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.30 / $1,944.18 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.94 / $2,060.23 / $3,188.27