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Michigan rates for HCPCS 35189

Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,010.62 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.08 / $2,010.62 / $2,085.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,626.48 / $8,888.93 / $12,043.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.03 / $1,447.73 / $2,453.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.33 / $2,074.15 / $2,780.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.93 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.83 / $1,760.93 / $2,361.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.23 / $1,178.11 / $1,845.57
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
$1,666.38 / $2,252.63 / $2,944.62