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Michigan rates for HCPCS 33940

Donor Cardiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.00 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.00 / $1,875.00 / $2,125.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.04 / $204.18 / $287.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.00 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.00 / $1,875.00 / $2,714.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $4,056.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,408.16 / $2,408.16 / $2,408.16