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Michigan rates for HCPCS 35663

Bypass graft, with other than vein; ilioiliac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.38 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.34 / $1,622.38 / $1,682.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,009.43 / $7,004.21 / $9,489.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.37 / $1,783.76 / $2,782.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.56 / $1,642.01 / $2,186.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.30 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.08 / $1,426.30 / $2,084.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.55 / $1,014.19 / $1,562.05
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
$1,402.95 / $1,770.80 / $2,352.39