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Michigan rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,235.94 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,981.07 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,311.31 / $4,365.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,897.79 / $8,912.51
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,388.44 / $4,677.35
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,754.23 / $4,168.69
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
$2,454.71 / $3,467.37 / $4,570.88