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Virginia 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
$1,259.80 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.68 / $1,259.80 / $1,777.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.47 / $1,269.96 / $1,770.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.96 / $1,472.74 / $2,871.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.93 / $1,418.90 / $2,535.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.88 / $1,235.85 / $1,524.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.65 / $1,537.05 / $2,218.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.00 / $1,558.00 / $2,527.34
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.70 / $1,459.08 / $4,462.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.70 / $1,459.08 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.65 / $1,479.48 / $2,437.25