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Michigan rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Facilitymedian $71 · 10th–90th $35$1480%10%10th90th$71Professionalmedian $35 · 10th–90th $10$1120%5%10%10th90th$35$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $83.18 / $147.91
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $42.66 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $47.86 / $128.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $23.44 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $36.31 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.01 / $7.59 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $67.61 / $67.61
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $17.38 / $23.99
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $50.12 / $67.61
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $38.02 / $102.33
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $38.02 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $27.54 / $102.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.01 / $6.61 / $38.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $19.05 / $51.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $85.11 / $234.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $51.29 / $70.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $112.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $16.22 / $85.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $40.74 / $75.86
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.70 / $74.13
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.01 / $5.89 / $30.20
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $16.22 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $51.29 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $12.02 / $50.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $33.88 / $91.20