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Michigan rates for HCPCS 35190

Repair, acquired or traumatic arteriovenous fistula; extremities

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.14 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,752.68 / $5,539.41 / $7,505.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.27 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,192.00 / $14,705.00