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Tennessee 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
$2,258.00 / $3,258.07 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.00 / $1,853.13 / $3,002.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.23 / $2,002.54 / $3,351.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.08 / $2,302.73 / $3,343.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $36,167.46 / $37,008.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,154.00 / $18,154.00 / $18,154.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.79 / $2,329.21 / $3,608.15