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Michigan rates for HCPCS 42000

Drainage Abscess Palate Uvula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.63 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.65 / $146.85 / $201.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.43 / $393.92 / $528.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.26 / $134.33 / $176.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.86 / $164.92 / $330.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.50 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.62 / $158.50 / $244.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.27 / $134.78 / $194.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,438.00 / $1,844.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $200.73 / $288.99