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Michigan rates for HCPCS 12057

Repair Intermediate F/E/E/N/L&/Muc >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.03 / $708.75 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.09 / $508.76 / $708.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.51 / $387.86 / $545.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $395.27 / $853.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.43 / $579.70 / $1,735.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.44 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.03 / $613.44 / $850.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.27 / $510.90 / $730.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $1,209.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.48 / $637.04 / $843.25