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Michigan rates for HCPCS 33641

Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,177.48 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,834.54 / $9,131.43 / $12,371.64
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.97 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00