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Michigan rates for HCPCS D7260

Oroantral Fistula Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.81 / $325.81 / $325.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.11 / $325.81 / $602.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.40 / $675.40 / $735.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.81 / $325.81 / $325.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.02 / $325.81 / $417.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,062.33 / $2,062.33