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Wyoming rates for HCPCS 33500

Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.05 / $1,551.05 / $1,551.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,527.00 / $3,977.00 / $4,772.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,192.71 / $2,211.08 / $3,689.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.80 / $4,935.71 / $6,346.57