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Michigan rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.40 / $907.55 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.48 / $756.40 / $1,042.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.10 / $2,765.94 / $3,747.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.83 / $928.65 / $1,568.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.23 / $749.70 / $2,742.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.01 / $923.88 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.12 / $819.97 / $1,051.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.01 / $559.27 / $871.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $3,640.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.94 / $903.14 / $1,156.66