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Michigan rates for HCPCS 33612

Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,398.83 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,818.38 / $3,235.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,897.79 / $6,309.57
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,454.71 / $3,311.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,691.53 / $3,311.31
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
$2,238.72 / $2,754.23 / $3,715.35