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Maine 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
$1,736.70 / $2,332.44 / $2,332.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.78 / $1,989.30 / $2,955.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.96 / $2,332.44 / $3,277.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.97 / $1,899.01 / $2,954.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.70 / $2,332.44 / $2,332.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.77 / $2,203.73 / $2,659.69