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Michigan rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $354.81 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $144.54 / $144.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $645.65 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $891.25 / $1,737.80