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Michigan rates for HCPCS 43284

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $707.95 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $977.24 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $977.24 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,862.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $4,897.79 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $724.44 / $977.24
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $794.33 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $9,120.11 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,230.27