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Michigan rates for HCPCS 47715

Excision Choledochal Cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.55 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.26 / $1,433.99 / $1,720.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.74 / $7,194.01 / $9,643.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.90 / $1,389.95 / $2,159.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.52 / $1,630.77 / $3,162.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.08 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.49 / $1,465.50 / $2,109.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.35 / $1,025.80 / $1,652.94
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
$1,332.32 / $1,740.63 / $2,243.90