go back

Michigan rates for HCPCS 40843

Vestibuloplasty; posterior, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.72 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.55 / $1,112.72 / $1,515.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,116.72 / $4,798.18 / $6,500.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.49 / $821.67 / $1,709.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.32 / $1,173.88 / $1,807.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.31 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.72 / $1,158.70 / $1,846.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.01 / $1,028.61 / $1,547.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.51 / $1,479.82 / $1,839.08