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Pennsylvania 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
$831.76 / $5,754.40 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,905.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,258.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,122.02
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,445.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,265.80 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $2,089.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $676.08 / $1,621.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $630.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $630.96 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,570.40 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,318.26