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Michigan rates for HCPCS D7953

Bone Replcmt Graft Ridge Preservation Per Site

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.75 / $515.75 / $515.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $503.44 / $515.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.22 / $96.22 / $104.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.75 / $515.75 / $515.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $515.75 / $520.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00