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Michigan rates for HCPCS 35634

Bypass Graft W/Other Than Vein Iliorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,355.62 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.31 / $2,355.62 / $2,442.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,693.46 / $10,140.64 / $14,267.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.95 / $2,582.03 / $4,066.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.56 / $2,605.67 / $2,813.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.96 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.96 / $2,009.61 / $2,519.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.14 / $1,396.50 / $2,189.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,040.51 / $2,442.85 / $3,507.28