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Michigan rates for HCPCS 34201

Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.07 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,772.68 / $5,567.19 / $7,832.63
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,718.03 / $3,752.51 / $4,893.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.50 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,192.00 / $14,705.00