go back

Michigan rates for HCPCS 19316

Mastopexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.58 / $3,050.22 / $9,152.35
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,333.98 / $14,654.95 / $14,654.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,575.52 / $10,010.21 / $13,636.67
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,627.33 / $6,314.00 / $9,246.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.56 / $2,936.25 / $6,907.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,333.98 / $14,654.95 / $14,654.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00