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Michigan rates for HCPCS 41821

Operculectomy, excision pericoronal tissues

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $57.54 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,995.26 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $72.44 / $154.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $83.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $63.10 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,884.03 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $69.18 / $93.33