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Michigan rates for HCPCS 33501

Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $977.24 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,548.82 / $1,819.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,630.78 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $1,905.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $1,905.46
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
$1,230.27 / $1,513.56 / $1,995.26