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Michigan rates for HCPCS 10121

Incision & Removal Foreign Body Subq Tiss Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.10 / $321.55 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.02 / $244.13 / $385.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.30 / $2,362.89 / $3,201.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $276.38 / $435.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.33 / $263.97 / $768.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.97 / $311.75 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.09 / $270.50 / $385.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $239.48 / $337.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.98 / $3,260.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.05 / $306.95 / $388.21