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Michigan rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.37 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.82 / $1,405.19 / $1,559.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,381.56 / $6,478.15 / $8,683.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.39 / $1,224.55 / $2,017.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.96 / $1,480.46 / $2,816.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.45 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.17 / $1,330.90 / $1,910.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.35 / $933.52 / $1,498.62
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
$1,234.78 / $1,531.20 / $2,013.47