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Michigan rates for HCPCS 33688

Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,503.44 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.70 / $2,503.44 / $2,596.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,522.04 / $11,098.27 / $15,036.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.25 / $1,638.94 / $2,898.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.78 / $2,491.88 / $3,199.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,102.10 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.10 / $2,132.73 / $2,853.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.14 / $1,471.94 / $2,292.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $3,869.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.48 / $2,616.21 / $3,702.92