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Michigan rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,279.95 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.86 / $2,933.43 / $3,279.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,422.19 / $13,930.73 / $19,232.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.31 / $2,633.80 / $4,214.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,265.80 / $3,193.96 / $6,294.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,716.05 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,573.85 / $2,889.39 / $4,076.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.26 / $2,217.35 / $3,347.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.32 / $3,427.51 / $4,299.49