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Michigan rates for HCPCS 41899

Unlisted Procedure Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $7,342.65 / $15,442.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,793.30 / $3,793.30 / $4,020.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,338.52 / $3,196.56 / $7,384.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.87 / $655.87 / $655.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.27 / $236.27 / $236.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $6,722.10 / $15,442.32
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.72 / $1,196.72 / $1,388.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,438.00 / $1,844.00