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Michigan rates for HCPCS 33141

Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $154.88 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $204.17 / $323.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $436.52 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $229.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $177.83 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $302.00