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Delaware 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
$6,907.00 / $6,907.00 / $15,648.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.68 / $1,708.68 / $1,853.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.85 / $1,957.43 / $2,312.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.02 / $1,815.92 / $4,018.14