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Michigan rates for HCPCS 42665

Ligation Salivary Duct Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.67 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.32 / $285.54 / $470.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.09 / $3,798.40 / $5,091.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.38 / $331.65 / $547.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.71 / $335.71 / $728.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.10 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.67 / $349.36 / $524.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.56 / $291.51 / $452.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,819.00 / $7,355.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.05 / $425.28 / $567.04