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Michigan rates for HCPCS 43510

Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $891.25 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $1,348.96 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $2,754.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,630.27 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,412.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,398.83 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,621.81