go back

Virginia rates for HCPCS 33522

Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.93 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.08 / $799.30 / $985.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.86 / $1,010.13 / $1,474.92
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$158.60 / $178.28 / $235.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.38 / $980.71 / $3,658.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.00 / $3,295.00 / $5,790.00