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Michigan rates for HCPCS 35883

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.69 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,752.68 / $5,539.41 / $7,505.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.10 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,192.00 / $14,705.00