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Alaska rates for HCPCS 33500

Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,489.64 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,967.40 / $8,623.31 / $8,623.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,262.55 / $5,262.55 / $5,262.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.35 / $8,623.31 / $12,331.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,725.50 / $9,674.70 / $12,362.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,758.75 / $6,680.15 / $10,050.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.35 / $8,623.31 / $12,331.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.58 / $6,780.00 / $10,396.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,210.04 / $6,315.06 / $9,746.76