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Michigan rates for HCPCS 11971

Removal Tissue Expander W/O Insertion Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.22 / $2,056.00 / $5,643.46
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,627.20 / $9,627.20 / $9,627.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,948.25 / $5,767.36 / $7,813.85
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,105.68 / $3,617.94 / $5,023.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.69 / $2,056.00 / $5,643.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,627.20 / $9,627.20 / $9,627.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,806.00 / $8,884.00