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Michigan rates for HCPCS 41821

Oprculectomy Exc Pricoronal Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.73 / $64.20 / $70.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.85 / $1,296.43 / $1,789.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.87 / $1,315.75 / $2,306.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.15 / $65.22 / $136.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.01 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.49 / $59.01 / $94.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $4,857.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.24 / $72.09 / $102.42