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Michigan rates for HCPCS 11772

Excision of pilonidal cyst or sinus; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.25 / $2,804.18 / $8,090.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,066.40 / $4,739.54 / $6,421.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.25 / $3,238.33 / $8,090.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.34 / $5,202.00 / $8,339.00