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Michigan rates for HCPCS 35022

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.92 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.85 / $1,909.92 / $1,980.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,833.51 / $7,964.70 / $10,790.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.81 / $2,013.91 / $3,338.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.84 / $1,733.64 / $2,381.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.58 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.58 / $1,628.97 / $2,201.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.24 / $1,149.23 / $1,770.72
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
$1,614.81 / $1,974.55 / $2,802.88