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Michigan rates for HCPCS 42120

Resection of palate or extensive resection of lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,897.79 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $933.25 / $933.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,754.23 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,897.79 / $12,022.64