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Michigan rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.26 / $712.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.55 / $458.26 / $651.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.17 / $294.17 / $294.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.54 / $816.51 / $1,106.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.88 / $358.97 / $745.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.14 / $502.75 / $1,539.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.24 / $1,227.39 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.26 / $500.24 / $800.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $450.48 / $656.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,418.00 / $2,449.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.27 / $620.37 / $792.38