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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
$1,023.29 / $1,905.46 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,187.76 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,089.30 / $3,311.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $2,884.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,344.23 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,187.76 / $2,884.03