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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
$4,786.30 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,311.31 / $3,311.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,897.79 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60