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Massachusetts 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
$1,023.29 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,905.46 / $6,309.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,388.44 / $7,244.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,238.72 / $18,197.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,162.28 / $5,623.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,344.23 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,089.30 / $3,388.44
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,187.76 / $4,073.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,388.44 / $7,244.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,238.72 / $18,197.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,511.89 / $4,786.30