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Michigan rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $933.25 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,737.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,445.44 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $891.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $3,548.13 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,023.29