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Michigan rates for HCPCS 35355

Teaec W/Wo Patch Graft Iliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.80 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,967.47 / $5,789.77 / $7,844.21
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,117.75 / $4,092.09 / $5,318.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.90 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00