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Kentucky 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
$860.00 / $1,313.52 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.13 / $1,226.04 / $1,608.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,755.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.33 / $1,151.58 / $1,713.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.51 / $1,428.14 / $1,647.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.11 / $1,428.14 / $2,040.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.78 / $1,252.78 / $1,567.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.51 / $1,558.32 / $2,406.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.25 / $1,769.49 / $2,306.42