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Michigan rates for HCPCS 48154

Pncrtect Prox Stot W/O Pancreatojejunostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,747.75 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.44 / $3,365.34 / $3,747.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,265.33 / $15,750.97 / $21,633.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.84 / $3,246.34 / $4,977.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,568.73 / $3,556.66 / $6,851.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.85 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,906.43 / $3,245.59 / $4,596.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.18 / $2,246.82 / $3,534.75
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
$3,005.40 / $3,749.67 / $4,832.50