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Michigan rates for HCPCS 33853

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.83 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.76 / $2,366.25 / $2,712.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,787.23 / $10,250.01 / $14,421.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.49 / $1,690.65 / $2,893.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.69 / $2,780.54 / $3,301.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.36 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.34 / $2,172.56 / $3,295.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.89 / $1,464.08 / $2,266.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $4,056.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.90 / $2,578.08 / $3,524.70