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Michigan rates for HCPCS 33367

Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with percutaneous peripheral arterial and venous cannulation (eg, femoral vessels) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.27 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.54 / $811.27 / $841.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,981.80 / $3,475.40 / $4,708.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.08 / $889.90 / $1,201.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.62 / $904.84 / $1,135.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.10 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.10 / $689.18 / $902.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.83 / $627.54 / $926.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.08 / $877.64 / $1,242.18