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New Jersey 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
$1,662.59 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.20 / $1,662.59 / $1,854.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.65 / $2,358.09 / $5,004.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,348.90 / $2,559.53 / $2,848.44
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.28 / $1,591.71 / $2,905.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.00 / $7,273.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.80 / $1,805.04 / $4,582.59