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Michigan rates for HCPCS 10121

Incision and removal of foreign body, subcutaneous tissues; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $257.04 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $416.87 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $281.84 / $870.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $724.44 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $288.40 / $467.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,019.95 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $354.81