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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
$4,897.79 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,370.32 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $7,413.10 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $6,309.57 / $14,791.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,623.41 / $15,135.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,495.41 / $7,943.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,754.40 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $3,630.78 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $6,025.60 / $8,317.64