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Michigan rates for HCPCS 38101

Splenectomy; partial (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.60 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.99 / $1,218.47 / $1,448.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.87 / $6,270.13 / $8,656.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.23 / $1,147.40 / $1,870.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.67 / $1,416.63 / $2,654.05
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.27 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.30 / $1,256.94 / $1,939.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.97 / $830.60 / $1,387.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.80 / $1,394.04 / $1,932.91