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Michigan rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $4,897.79 / $12,302.69
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,165.95 / $6,165.95 / $9,549.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,258.93 / $1,258.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,041.74 / $6,918.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,165.95 / $6,165.95 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,786.30 / $8,317.64