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Michigan rates for HCPCS 33620

Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,191.69 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,888.62 / $9,194.45 / $12,457.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.39 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00