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Michigan rates for HCPCS 33877

Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,793.77 / $4,933.00 / $4,971.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,328.75 / $20,197.28 / $27,364.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.31 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00