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Michigan rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $74.13 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $18.20 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $87.10 / $173.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $954.99 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $79.43 / $120.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $83.18 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,884.03 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $85.11 / $125.89