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Michigan rates for HCPCS 43405

Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,869.67 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.78 / $1,676.59 / $1,869.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,035.60 / $8,353.92 / $11,473.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.43 / $1,506.63 / $2,600.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.59 / $1,771.85 / $3,428.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.80 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.14 / $1,592.63 / $2,301.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.25 / $1,216.51 / $1,848.60
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
$1,483.49 / $1,921.31 / $2,597.61