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Michigan rates for HCPCS 32855

Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmonary artery, and bronchus; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.24 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.20 / $356.24 / $719.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.90 / $1,672.62 / $2,278.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.48 / $281.22 / $472.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.86 / $383.54 / $503.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.72 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.72 / $345.63 / $484.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.94 / $347.59 / $479.49