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Michigan rates for HCPCS 22114

Prtl Exc Vrt Bdy B1y Les W/O Spi Cord 1 Sgm Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.88 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.33 / $1,419.51 / $1,532.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,648.17 / $5,455.59 / $7,391.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.95 / $1,213.05 / $1,971.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.37 / $1,212.10 / $2,283.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.59 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.59 / $1,203.46 / $1,689.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.41 / $773.40 / $1,341.03
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
$1,049.11 / $1,235.18 / $1,635.00