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Michigan rates for HCPCS 35884

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.26 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.95 / $1,651.26 / $1,712.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,752.68 / $5,539.41 / $7,505.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.81 / $1,936.53 / $3,020.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.76 / $1,799.93 / $2,198.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.61 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.59 / $1,419.61 / $1,861.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.55 / $1,046.22 / $1,608.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,192.00 / $14,705.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.74 / $1,774.12 / $2,394.98