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Michigan rates for HCPCS 43313

Esphgp Cgen Dfct Thrc Appr W/O Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,746.21 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,550.92 / $3,187.98 / $3,746.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,960.87 / $14,727.17 / $19,741.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.16 / $2,830.01 / $4,832.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.71 / $3,510.53 / $6,889.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,069.17 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,920.30 / $3,175.10 / $4,312.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.18 / $2,248.63 / $3,541.01
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
$2,856.13 / $3,711.58 / $4,962.45