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Michigan rates for HCPCS 33783

Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,636.24 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,156.84 / $4,323.62 / $4,807.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,683.24 / $19,444.90 / $26,344.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.29 / $3,550.18 / $5,461.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,089.07 / $5,089.67 / $5,846.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,816.79 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,740.30 / $3,949.86 / $5,004.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.61 / $2,750.35 / $4,288.17
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
$4,020.67 / $4,872.18 / $6,712.67