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Michigan rates for HCPCS 0576T

Interrogation Dev Eval Icds W/Ss Eltrd In Person

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.40 / $62.40 / $62.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.46 / $60.24 / $64.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.72 / $104.82 / $202.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.13 / $36.61 / $43.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.63 / $97.40 / $124.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.40 / $67.65 / $67.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.53 / $67.65 / $80.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.39 / $54.32 / $76.80