go back

Michigan rates for HCPCS 35304

Teaec W/Graft Tibioperoneal Trunk Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.33 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,210.79 / $7,244.68 / $10,192.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.62 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00