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Michigan rates for HCPCS 30915

Ligation arteries; ethmoidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $1,288.25 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $954.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $912.01
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $676.08 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,754.40 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $977.24