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Michigan rates for HCPCS 0054T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.06 / $2,056.00 / $11,698.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.16 / $168.06 / $324.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.71 / $172.71 / $189.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.81 / $2,056.00 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.08 / $171.81 / $214.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.85 / $218.53 / $416.72