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Michigan rates for HCPCS 33926

Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,211.10 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.73 / $2,993.87 / $3,330.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,223.69 / $14,247.14 / $19,302.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.52 / $3,719.77 / $5,910.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,141.81 / $3,387.89 / $4,075.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.59 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.10 / $2,738.17 / $4,036.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.62 / $1,911.23 / $2,975.68
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
$2,765.64 / $3,307.85 / $4,648.52