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Delaware 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
$6,907.00 / $6,907.00 / $15,648.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.02 / $1,222.02 / $1,327.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.33 / $1,400.63 / $1,653.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.35 / $1,281.31 / $2,870.15