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Michigan rates for HCPCS 33852

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,089.30 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,949.84 / $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
$1,862.09 / $4,570.88 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $2,344.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,862.09 / $2,454.71
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
$1,584.89 / $1,949.84 / $2,630.27