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Michigan rates for HCPCS 33755

Shunt; ascending aorta to pulmonary artery (Waterston type operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.37 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.34 / $1,751.37 / $1,816.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,584.27 / $7,680.33 / $10,805.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.39 / $434.60 / $2,089.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.03 / $1,887.21 / $2,154.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.17 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.17 / $1,499.60 / $1,972.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.93 / $1,160.40 / $1,743.04
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
$1,515.49 / $1,806.84 / $2,308.19