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Michigan rates for HCPCS 49013

Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.04 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.79 / $2,346.03 / $3,195.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.75 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00