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Michigan rates for HCPCS 42699

Unlisted procedure, salivary glands or ducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.74 / $1,312.74 / $1,312.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.48 / $249.98 / $338.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.53 / $1,293.53 / $1,293.53
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $4,921.76 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.00 / $4,921.76 / $5,635.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,351.00 / $1,844.00