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Virginia 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
$1,758.22 / $4,796.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.32 / $1,758.22 / $2,485.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.03 / $1,772.30 / $2,470.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.53 / $2,054.82 / $4,006.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.38 / $2,056.01 / $3,550.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.22 / $1,722.26 / $2,124.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.04 / $2,177.25 / $3,160.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,958.00 / $2,183.00 / $3,524.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.78 / $2,035.80 / $4,462.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.78 / $2,035.80 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.29 / $2,047.09 / $3,222.52