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Michigan rates for HCPCS 42408

Excision of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $794.33 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $537.03 / $1,122.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,380.38 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $776.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $4,466.84 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $776.25