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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
$1,861.25 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.17 / $1,790.20 / $1,930.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,676.25 / $7,781.40 / $10,542.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.08 / $1,967.07 / $2,795.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.41 / $2,133.54 / $2,464.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.80 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.80 / $1,591.67 / $2,107.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.27 / $1,115.69 / $1,740.11
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
$1,578.32 / $1,966.88 / $2,691.85