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North Dakota 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
$1,083.38 / $1,083.38 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.38 / $1,083.38 / $1,137.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.67 / $2,304.02 / $2,722.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.42 / $1,969.65 / $3,179.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.38 / $1,498.34 / $3,250.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.69 / $2,037.25 / $2,780.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.43 / $2,169.88 / $2,780.65