go back

Ohio 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
$1,222.02 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.02 / $1,259.80 / $3,201.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.56 / $1,310.86 / $2,096.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.36 / $1,068.36 / $1,555.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.16 / $1,152.16 / $1,250.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.97 / $1,549.80 / $2,330.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.79 / $1,597.05 / $2,230.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.13 / $954.04 / $1,464.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.27 / $1,442.99 / $2,460.13