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Michigan rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.99 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.46 / $559.99 / $606.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,911.25 / $3,393.17 / $4,597.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.65 / $603.37 / $822.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.61 / $547.17 / $856.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.39 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.39 / $443.95 / $719.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $392.69 / $594.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.08 / $552.17 / $732.89