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New York rates for HCPCS 33504

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

Facilitymedian $6,310 · 10th–90th $1,905–$14,4540%10%10th90th$6,310Professionalmedian $1,862 · 10th–90th $1,349–$4,6770%20%10th90th$1,862$50.0$200.0$1.0K$5.0K$20.0K

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
$1,819.70 / $3,388.44 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,862.09 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $10,964.78 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,584.89 / $3,890.45
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $5,754.40 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,754.23 / $7,079.46
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,090.30 / $5,495.41
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,187.76 / $3,162.28
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,698.24 / $2,630.27
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,905.46 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,073.80 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,089.30 / $5,248.07
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,819.70 / $5,495.41
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,819.70 / $5,495.41