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Michigan rates for HCPCS 33500

Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.07 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.41 / $2,068.07 / $2,144.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,433.17 / $8,663.61 / $11,737.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.52 / $1,433.88 / $2,453.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.82 / $2,135.04 / $2,672.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.47 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.47 / $1,763.59 / $2,471.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.37 / $1,227.22 / $1,911.77
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
$1,670.37 / $2,201.16 / $3,121.23