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Massachusetts rates for HCPCS 33504

Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass

Facilitymedian $3,090 · 10th–90th $955–$5,6230%10%10th90th$3,090Professionalmedian $1,862 · 10th–90th $1,445–$4,2660%20%10th90th$1,862$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,819.70 / $4,265.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,311.31 / $7,244.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,187.76 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,884.03 / $3,981.07
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,995.26 / $4,897.79
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,905.46 / $2,691.53
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,388.44 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,089.30 / $3,801.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,311.31 / $7,244.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,187.76 / $18,620.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,344.23 / $4,365.16