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Michigan rates for HCPCS 57109

Vagnc Prtl Rmvl Vag Wall W/Bi Tot Pel Lmphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,049.37 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.59 / $2,049.37 / $2,134.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,536.35 / $2,927.74 / $3,988.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.47 / $1,709.17 / $2,995.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.26 / $1,859.65 / $3,534.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,687.74 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.74 / $1,903.56 / $2,521.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.33 / $1,255.36 / $2,056.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.21 / $2,150.41 / $2,918.03