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Michigan rates for HCPCS 43124

Tot/Prtl Esphg W/O Rcnstj W/Crv Esophagostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,881.00 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,365.30 / $4,326.30 / $4,881.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,135.80 / $20,899.81 / $28,015.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.98 / $4,729.87 / $6,235.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,441.46 / $4,524.02 / $8,865.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,141.25 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,783.50 / $4,143.84 / $6,031.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.33 / $2,921.06 / $4,594.58
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
$3,789.87 / $5,051.10 / $6,463.03