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New York rates for HCPCS 33503

Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.79 / $4,648.00 / $10,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.67 / $1,744.19 / $3,165.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,750.00 / $16,411.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.58 / $1,422.99 / $3,091.28
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.11 / $1,852.11 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.11 / $1,852.11 / $1,852.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.85 / $1,498.85 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.31 / $2,125.73 / $4,750.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,348.64 / $10,422.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.18 / $1,878.91 / $2,708.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.00 / $1,261.90 / $2,253.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,498.85 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.79 / $2,125.73 / $4,750.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.97 / $1,727.03 / $4,083.07
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.78 / $1,652.78 / $4,592.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.00 / $1,652.78 / $3,302.33