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Michigan rates for HCPCS 43881

Impltj/Rplcmt Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.38 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $765.78 / $905.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,880.55 / $20,522.43 / $28,333.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,982.15 / $6,922.96 / $12,825.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.47 / $915.40 / $2,487.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.38 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.56 / $1,267.59 / $1,701.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $748.09 / $748.09
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
$700.61 / $1,258.71 / $1,991.98