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Michigan rates for HCPCS 63042

Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,739.97 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,287.25 / $10,287.25 / $10,287.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,739.41 / $12,604.92 / $17,077.66
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,184.88 / $8,782.45 / $9,884.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.50 / $4,933.00 / $6,534.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,287.25 / $10,287.25 / $10,287.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $11,152.00 / $20,268.00