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Michigan rates for HCPCS 43289

Unlisted laparoscopy procedure, esophagus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,112.00 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.60 / $1,917.60 / $1,917.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,085.54 / $5,927.38 / $8,030.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.81 / $5,000.81 / $5,000.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,901.43 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,901.43 / $2,901.43 / $4,009.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,351.00