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Michigan rates for HCPCS 33694

Compl Rpr T-Fallot W/O Pulm Atresia Tanulr Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.48 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.55 / $2,592.48 / $2,858.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,327.08 / $10,871.04 / $14,728.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.60 / $1,880.40 / $3,187.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.02 / $2,884.40 / $3,345.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,181.11 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.80 / $2,442.84 / $3,695.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.89 / $1,534.19 / $2,398.38
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
$2,243.36 / $2,758.89 / $3,752.08