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Michigan rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.88 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.80 / $141.35 / $157.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.39 / $1,128.52 / $1,810.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.89 / $1,385.00 / $2,285.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.61 / $144.69 / $301.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.13 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.55 / $134.12 / $436.00
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
$126.67 / $166.70 / $208.36