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North Carolina 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
$1,096.48 / $1,737.80 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,698.24 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $2,818.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,584.89 / $3,090.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,890.45 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,513.56 / $2,691.53
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $19,952.62 / $19,952.62
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64