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Michigan rates for HCPCS 35666

Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.62 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,083.17 / $7,090.15 / $9,606.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.64 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00