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Michigan rates for HCPCS 35121

Dir Rpr Aneurysm Hepatic/Celiac/Renal/Mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.44 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.82 / $2,106.44 / $2,184.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,929.59 / $9,242.20 / $12,521.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.80 / $1,444.14 / $3,639.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.47 / $2,266.25 / $2,847.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.55 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.08 / $1,845.55 / $2,732.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.23 / $1,238.06 / $1,957.65
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
$1,873.49 / $2,319.11 / $2,922.05