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Michigan rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,318.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $4,073.80 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $741.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $7,079.46 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $851.14