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West 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
$1,400.00 / $1,623.21 / $1,623.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.21 / $1,708.68 / $1,927.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.78 / $1,867.02 / $2,034.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.14 / $1,808.14 / $1,808.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.08 / $1,752.08 / $1,752.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.10 / $2,286.66 / $9,353.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.43 / $1,862.22 / $3,001.00