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Michigan rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.34 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.85 / $1,103.09 / $1,299.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,184.76 / $4,708.67 / $6,500.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.49 / $1,022.29 / $1,653.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.12 / $1,168.93 / $2,327.05
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.65 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.65 / $1,056.06 / $1,514.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.68 / $840.62 / $1,271.00
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
$967.67 / $1,223.00 / $1,643.86