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Michigan rates for HCPCS 33767

Shunt Superior Vena Cava Pulm Artery Both Lungs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,891.88 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.58 / $1,762.09 / $1,961.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,792.54 / $7,916.95 / $10,726.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.57 / $1,362.40 / $2,331.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.73 / $2,153.42 / $2,390.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.28 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.41 / $1,613.95 / $2,132.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.24 / $1,128.74 / $1,779.33
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
$1,666.19 / $1,998.77 / $2,785.42