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Michigan rates for HCPCS 48547

Duodenal exclusion with gastrojejunostomy for pancreatic injury

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,319.98 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.11 / $2,081.84 / $2,319.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.94 / $9,690.02 / $12,989.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.81 / $1,779.21 / $3,088.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.27 / $2,187.06 / $4,210.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,871.09 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.56 / $2,008.59 / $2,844.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.07 / $1,386.52 / $2,191.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $3,869.00 / $5,525.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.63 / $2,368.55 / $3,036.56