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Michigan rates for HCPCS 40801

Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $302.00 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $309.03 / $446.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $338.84 / $478.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,148.15 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $478.63