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Michigan rates for HCPCS 69955

Total Facial Nerve Decompression &/Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.61 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.48 / $2,323.61 / $2,517.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,968.13 / $5,799.31 / $7,900.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.46 / $2,785.50 / $4,618.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.24 / $2,289.01 / $4,044.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,043.54 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.54 / $2,198.37 / $2,985.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.05 / $1,474.39 / $2,324.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,986.00 / $7,800.00 / $10,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.02 / $2,475.75 / $3,642.16