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North Carolina 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
$1,517.72 / $1,628.21 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.72 / $1,517.72 / $2,649.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.73 / $3,109.22 / $4,285.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.72 / $2,483.69 / $4,180.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.72 / $2,084.60 / $3,761.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.60 / $2,084.60 / $2,084.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.36 / $1,828.43 / $2,667.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.31 / $2,185.05 / $4,189.87
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $29,917.23 / $36,167.46
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,154.00 / $18,154.00 / $18,154.00