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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
$1,085.69 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.69 / $1,085.69 / $1,892.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.56 / $2,008.06 / $3,061.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.08 / $1,751.63 / $2,990.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.35 / $1,475.10 / $2,675.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.10 / $1,475.10 / $1,475.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.82 / $1,307.90 / $1,912.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.81 / $1,555.64 / $3,056.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,338.88 / $19,773.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,102.00 / $12,102.00 / $12,102.00