go back

Michigan rates for HCPCS 38115

Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.38 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,660.39 / $6,890.42 / $9,512.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.58 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,036.00