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Michigan rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.57 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.39 / $2,203.57 / $2,939.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.63 / $1,398.56 / $1,885.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.27 / $2,527.75 / $4,360.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.71 / $1,990.09 / $4,564.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.81 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.63 / $1,872.81 / $2,939.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.78 / $1,715.65 / $2,464.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $3,005.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.71 / $2,121.08 / $3,254.15