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Tennessee 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
$1,821.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.53 / $1,325.38 / $2,147.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.00 / $1,440.97 / $2,399.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.00 / $1,636.93 / $2,392.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,773.75 / $20,218.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,102.00 / $12,102.00 / $12,102.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.03 / $1,636.85 / $2,655.62