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Michigan rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,933.00 / $4,933.00 / $6,367.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.56 / $5,321.65 / $6,401.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,175.16 / $26,872.01 / $37,099.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.05 / $6,969.44 / $8,803.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,306.34 / $6,098.39 / $11,880.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,933.00 / $5,199.39 / $6,367.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,866.60 / $5,415.94 / $7,857.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.84 / $3,789.91 / $5,982.56
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
$5,108.64 / $6,595.37 / $9,089.59