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Michigan rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.02 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.32 / $1,949.02 / $2,021.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,994.10 / $8,151.87 / $11,044.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.18 / $586.36 / $2,280.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.47 / $2,239.08 / $2,459.64
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.56 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.56 / $1,668.81 / $2,291.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.24 / $1,160.40 / $1,821.42
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
$1,728.31 / $2,132.07 / $2,882.40