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Michigan rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,933.00 / $4,933.00 / $6,028.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,111.42 / $6,028.41 / $8,468.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,993.09 / $32,676.37 / $44,514.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.88 / $8,102.95 / $9,487.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,161.43 / $6,991.26 / $11,527.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,933.00 / $4,933.00 / $6,442.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,645.51 / $6,442.34 / $8,925.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.01 / $4,555.25 / $7,148.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,092.06 / $7,312.26 / $9,980.16