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Michigan rates for HCPCS 35142

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial femoral)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,905.46 / $1,905.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,365.16 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60