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Michigan rates for HCPCS 64861

Suture Brachial Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.98 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.96 / $1,870.31 / $2,068.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,414.54 / $5,181.37 / $7,019.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.51 / $2,443.94 / $4,015.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.44 / $1,701.04 / $3,265.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.70 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.70 / $1,620.09 / $2,429.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.16 / $1,134.06 / $1,873.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.28 / $1,664.82 / $2,446.83