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Kentucky 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
$860.00 / $1,851.98 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.51 / $1,718.22 / $2,245.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,755.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.71 / $1,671.89 / $2,410.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.27 / $1,995.73 / $2,302.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.45 / $1,995.73 / $2,851.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.08 / $1,752.08 / $2,209.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.77 / $2,223.14 / $3,450.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.69 / $2,196.17 / $3,234.92