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Michigan rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.68 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.54 / $1,352.68 / $1,404.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.66 / $2,414.75 / $3,289.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.43 / $1,081.52 / $1,749.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.02 / $1,351.71 / $2,122.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.59 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.59 / $1,195.55 / $1,754.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $908.92 / $1,369.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $4,857.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.38 / $1,350.25 / $1,808.54