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Massachusetts rates for HCPCS 33258

Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $794.33 / $2,570.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,862.09 / $4,073.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $954.99 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,348.96 / $2,344.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,047.13 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,479.11
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,737.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,862.09 / $4,073.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $954.99 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,995.26