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Michigan rates for HCPCS 33767

Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,698.24 / $2,630.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,995.26 / $2,290.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,677.35 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,778.28 / $2,454.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,949.84 / $2,630.27