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Michigan rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.02 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.24 / $653.02 / $680.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,494.90 / $2,912.30 / $3,967.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.07 / $516.34 / $918.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.55 / $589.32 / $1,129.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.91 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.60 / $635.91 / $901.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $436.64 / $676.28
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
$592.66 / $713.40 / $905.41