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Michigan rates for HCPCS 46712

Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,864.12 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.69 / $2,484.06 / $2,864.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,752.97 / $11,462.78 / $15,365.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.24 / $2,305.96 / $3,681.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.76 / $2,713.44 / $5,233.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,006.66 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.66 / $2,364.44 / $3,519.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $1,734.94 / $2,703.20
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
$2,248.92 / $2,789.86 / $3,730.88