go back

Michigan rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.69 / $4,813.35 / $12,870.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,283.69 / $1,610.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,802.84 / $5,597.88 / $7,584.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.43 / $1,018.71 / $1,904.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.77 / $1,060.04 / $3,963.97
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.85 / $4,933.00 / $9,594.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.85 / $1,121.07 / $1,610.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.27 / $852.13 / $1,238.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,702.00 / $12,726.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.41 / $1,172.63 / $1,586.37