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Michigan rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.12 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.81 / $2,032.94 / $2,259.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,633.67 / $9,064.04 / $12,449.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.46 / $1,703.25 / $3,013.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.39 / $2,139.81 / $4,090.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.25 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.09 / $1,924.43 / $2,766.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.07 / $1,359.87 / $2,133.21
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
$1,830.97 / $2,342.50 / $2,952.52