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Michigan rates for HCPCS 31225

Maxillectomy; without orbital exenteration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.26 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,753.66 / $10,202.70 / $13,823.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,901.32 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00