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Michigan rates for HCPCS 49062

Drainage of extraperitoneal lymphocele to peritoneal cavity, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $2,137.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,089.30 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $851.14 / $1,148.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,548.13 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,288.25