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Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.47 / $1,519.47 / $1,519.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.83 / $1,819.83 / $1,969.24
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.08 / $2,314.73 / $2,861.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.45 / $1,747.03 / $2,038.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.98 / $1,860.13 / $2,419.98
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,770.86 / $2,596.76