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Michigan rates for HCPCS 40842

Vestibuloplasty Posterior Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.05 / $863.36 / $1,172.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.46 / $578.91 / $972.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.98 / $848.78 / $1,370.57
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.30 / $863.36 / $1,357.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $693.96 / $1,031.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.14 / $1,148.88 / $1,512.88