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Michigan rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.61 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,958.65 / $6,945.01 / $9,409.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.46 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $3,869.00 / $6,327.00