go back

Michigan rates for HCPCS 49215

Exc Presac/Sacrococcygeal Tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,828.09 / $4,933.00 / $6,906.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.06 / $2,481.36 / $3,000.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.47 / $12,054.92 / $16,643.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.04 / $2,169.63 / $3,677.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.18 / $2,716.24 / $5,294.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,294.23 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.92 / $2,522.19 / $3,971.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $1,712.41 / $2,699.27
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
$2,301.30 / $2,948.94 / $3,723.30