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Michigan rates for HCPCS 35111

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, splenic artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,621.81 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,949.84 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,949.84 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,862.09 / $2,137.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,365.16 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,659.59 / $2,290.87
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,698.24 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,949.84 / $2,454.71