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Michigan rates for HCPCS 21193

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.46 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.66 / $1,305.54 / $1,622.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,968.13 / $5,831.13 / $7,900.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.39 / $1,281.59 / $2,120.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.06 / $1,418.77 / $2,696.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.25 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.59 / $1,375.54 / $2,099.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $833.53 / $1,409.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.10 / $1,525.91 / $1,953.81