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Michigan rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.69 / $4,001.25 / $6,385.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.03 / $116.39 / $291.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.83 / $153.97 / $209.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.63 / $99.97 / $167.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.59 / $148.91 / $230.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.77 / $4,562.60 / $5,078.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.42 / $116.39 / $294.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.40 / $102.86 / $147.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,428.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.93 / $163.58 / $208.93