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Michigan rates for HCPCS 31040

Pterygomaxillary Fossa Surgery Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.44 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.87 / $4,056.22 / $5,525.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.25 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00