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Missouri 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
$1,760.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.77 / $1,868.39 / $1,944.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.19 / $2,016.65 / $3,197.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.37 / $2,199.55 / $4,157.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,469.42 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.25 / $3,039.18 / $18,154.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.25 / $2,427.25 / $4,609.16