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Michigan rates for HCPCS 40720

Plstc Rpr Cl Lip/Nsl Dfrm Sec Recrtj Dfct & Recl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.19 / $4,933.00 / $6,906.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.94 / $1,309.19 / $2,035.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,120.16 / $4,806.03 / $6,761.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.29 / $1,471.28 / $2,903.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.83 / $1,164.60 / $4,023.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.88 / $4,933.00 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.11 / $1,163.55 / $1,737.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.27 / $865.49 / $1,264.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,542.00 / $7,800.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.90 / $1,260.16 / $1,650.21