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Michigan rates for HCPCS 33910

Pulmonary artery embolectomy; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,503.31 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.40 / $3,257.89 / $3,633.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,541.51 / $14,617.57 / $19,804.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.51 / $3,826.49 / $6,026.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.66 / $2,835.28 / $4,222.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.39 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.44 / $2,949.09 / $3,779.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.37 / $2,042.61 / $3,174.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.03 / $3,342.48 / $5,062.20