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Michigan rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

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
$1,150.76 / $1,629.73 / $1,816.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,281.43 / $7,321.23 / $9,919.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.18 / $1,358.10 / $2,089.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.03 / $1,849.77 / $2,154.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,402.62 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.62 / $1,499.60 / $2,028.03
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
$1,483.01 / $1,795.05 / $2,264.94