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Pennsylvania rates for HCPCS 33509

Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.71 / $3,964.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $5,342.00 / $8,990.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.85 / $166.85 / $187.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00