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Maryland rates for HCPCS 33500

Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.82 / $1,915.69 / $4,148.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.53 / $2,054.82 / $2,600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.10 / $1,941.21 / $3,960.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.84 / $2,066.37 / $3,430.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.65 / $1,832.29 / $3,422.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.36 / $1,263.36 / $2,252.30