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Michigan rates for HCPCS 33803

Division of aberrant vessel (vascular ring); with reanastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,531.18 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.58 / $1,531.18 / $1,587.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,490.09 / $6,398.89 / $8,669.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.77 / $1,613.68 / $1,816.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.98 / $1,747.19 / $1,924.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.75 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.06 / $1,314.75 / $1,886.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $911.63 / $1,433.71
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
$1,241.48 / $1,612.71 / $2,214.83