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Washington, DC rates for HCPCS 33501

Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.89 / $1,381.89 / $1,381.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.96 / $1,472.74 / $1,890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.74 / $1,466.38 / $2,841.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,463.19 / $2,463.19 / $2,463.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.16 / $2,219.19 / $3,320.98