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Michigan rates for HCPCS 35881

Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,388.44 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $9,120.11 / $14,791.08