go back

Michigan rates for HCPCS 33891

Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.12 / $3,149.80 / $3,400.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,687.29 / $5,463.20 / $7,401.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.23 / $875.82 / $1,457.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.70 / $1,893.70 / $1,893.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.00 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.78 / $1,111.00 / $1,456.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.90 / $978.28 / $1,430.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.33 / $1,356.87 / $1,869.42