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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
$4,570.88 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,041.74 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,290.87 / $12,022.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,786.30 / $10,471.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $6,165.95 / $8,709.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $8,709.64 / $12,302.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,513.56 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $6,309.57 / $9,772.37