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Michigan rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.23 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.47 / $965.58 / $1,412.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,932.51 / $3,441.90 / $4,663.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.88 / $918.99 / $1,565.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $939.28 / $1,801.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.81 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.54 / $1,026.25 / $1,425.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $639.06 / $1,067.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.92 / $1,038.15 / $1,404.05