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Michigan rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $2,884.03 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $190.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $2,041.74 / $5,370.32
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,202.26 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $223.87 / $549.54