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Michigan rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.91 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.04 / $989.73 / $1,622.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.55 / $5,493.44 / $7,584.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.38 / $916.35 / $1,553.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.77 / $1,105.88 / $2,240.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.12 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.12 / $1,002.45 / $1,580.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $794.59 / $1,190.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.52 / $1,180.56 / $1,574.08