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Michigan rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $562.34 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $977.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $407.38 / $549.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $5,754.40 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $616.60