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Michigan rates for HCPCS 33503

Rpr Anom Coronary Artery Pulm Art Origin Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.26 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.41 / $1,764.26 / $1,829.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,325.63 / $7,372.74 / $9,988.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.24 / $1,281.81 / $2,109.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.91 / $1,852.35 / $2,249.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.15 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.15 / $1,512.36 / $1,968.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $1,193.13 / $1,790.85
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
$1,464.92 / $1,833.35 / $2,463.01