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Michigan rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,957.44 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.73 / $2,957.44 / $3,066.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,850.36 / $12,656.59 / $17,806.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.16 / $3,004.54 / $3,517.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.48 / $3,000.35 / $3,896.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,532.46 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,463.37 / $2,532.46 / $3,695.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.62 / $1,719.70 / $2,699.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $3,869.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.42 / $3,119.09 / $4,287.47