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Michigan rates for HCPCS 15777

Implnt Bio Implnt For Soft Tissue Reinforcement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.81 / $1,924.00 / $4,933.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.85 / $7,213.60 / $10,224.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,013.02 / $9,339.45 / $12,653.49
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,029.22 / $5,858.77 / $8,579.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.41 / $222.65 / $300.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.25 / $1,924.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.85 / $7,213.60 / $48,301.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,418.00 / $2,449.00