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Michigan rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.07 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.88 / $1,758.07 / $1,825.69
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
$351.75 / $1,745.81 / $3,569.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.16 / $1,626.09 / $3,110.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.82 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.88 / $1,663.82 / $2,246.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $1,000.35 / $1,625.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.61 / $1,686.55 / $2,298.55