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Michigan rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.97 / $232.28 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.04 / $156.03 / $232.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.06 / $370.10 / $504.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $117.32 / $223.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.70 / $170.39 / $300.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.44 / $232.28 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.97 / $216.44 / $309.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.01 / $170.07 / $243.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $4,857.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.49 / $274.04 / $339.28