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Michigan rates for HCPCS 33690

Banding of pulmonary artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.96 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.96 / $1,485.84 / $1,656.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,722.75 / $6,670.06 / $9,036.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.29 / $1,114.55 / $1,907.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.13 / $1,821.05 / $1,970.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.38 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.38 / $1,433.25 / $2,160.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $962.10 / $1,501.77
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
$1,314.55 / $1,656.35 / $2,024.17