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Michigan rates for HCPCS 43882

Revision/Rmvl Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.29 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $839.75 / $1,022.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,844.19 / $16,033.16 / $21,492.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.87 / $6,509.93 / $10,411.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.38 / $1,033.73 / $3,234.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.29 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.97 / $1,457.73 / $1,913.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $100.00 / $860.29
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
$660.76 / $1,670.76 / $2,259.11