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Michigan rates for HCPCS 88311

Decalcification procedure (List separately in addition to code for surgical pathology examination)

Facilitymedian $29 · 10th–90th $9$8710%10%20%10th90th$29Professionalmedian $17 · 10th–90th $7$500%5%10th90th$17$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$9.33 / $28.84 / $870.96
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$12.30 / $12.30 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $19.05 / $51.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $20.89 / $66.07
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.01 / $7.08 / $12.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $19.95 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.62 / $11.48 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $32.36 / $32.36
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.05 / $25.70
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.18 / $13.18 / $17.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $19.95 / $48.98
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $17.38 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $42.66
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.50 / $7.24 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.55 / $4.37 / $11.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $28.84 / $870.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $24.55 / $45.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $15.85 / $46.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.31 / $9.55 / $16.98
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.47 / $28.18
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.50 / $6.46 / $17.38
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.55 / $4.37 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $20.89 / $81.28
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.59 / $12.88 / $47.86
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.98 / $7.24 / $11.75