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Michigan rates for HCPCS 61703

Icra Crv Appl Occluding Clamp Crv Crtd Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.88 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.04 / $1,780.88 / $1,849.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,860.23 / $6,840.66 / $9,318.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.02 / $2,289.71 / $3,278.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.31 / $1,713.00 / $2,645.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.66 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.66 / $1,603.51 / $2,137.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.81 / $1,141.66 / $1,778.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.69 / $1,697.22 / $2,288.37