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Michigan rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $537.03 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $354.81 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $380.19 / $831.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,000.00 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $380.19 / $537.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $363.08 / $794.33
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
$229.09 / $354.81 / $549.54