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Michigan rates for HCPCS 64861

Suture of; brachial plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,548.82 / $2,630.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,467.37 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,698.24 / $3,235.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,737.80 / $2,290.87
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,513.56 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,248.07 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $2,137.96