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Michigan rates for HCPCS 33676

Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,689.93 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.65 / $2,689.93 / $2,789.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,210.18 / $11,900.32 / $16,123.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.14 / $1,857.15 / $3,120.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.40 / $2,929.32 / $3,259.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,328.21 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.71 / $2,328.21 / $3,106.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $1,753.61 / $2,645.29
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
$2,389.78 / $2,861.63 / $3,604.34