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Michigan rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.90 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.33 / $1,285.94 / $1,541.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,417.50 / $6,432.61 / $8,835.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.27 / $1,177.46 / $1,995.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.99 / $1,462.39 / $2,772.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.96 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.64 / $1,316.27 / $1,869.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.35 / $930.56 / $1,476.01
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
$1,236.60 / $1,570.65 / $2,008.28