go back

Michigan rates for HCPCS 35188

Repair, acquired or traumatic arteriovenous fistula; head and neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.77 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.18 / $1,742.77 / $1,807.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,282.84 / $4,991.80 / $6,763.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.97 / $1,650.86 / $2,176.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.28 / $1,386.40 / $2,094.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.35 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.35 / $1,453.40 / $1,869.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.34 / $1,039.29 / $1,656.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $9,143.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.40 / $1,562.98 / $2,135.34