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Michigan rates for HCPCS 35400

Angioscopy Non-Coronary Vessel/Grafts Ther Ivntj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.44 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.96 / $834.48 / $1,130.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.65 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00