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Michigan rates for HCPCS 00172

Anes Intraoral W/Biopsy Repair Cleft Palate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $367.50 / $484.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $48.00 / $427.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $870.48 / $1,470.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.00 / $364.00 / $484.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $367.50 / $504.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.51 / $75.00 / $129.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $53.06 / $85.00