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Michigan rates for HCPCS 44021

Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $1,479.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,754.23 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,548.13 / $6,025.60