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Michigan rates for HCPCS 0637T

Ct Breast W/3d Rendering Bi With Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.75 / $245.75 / $950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $245.75 / $245.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.94 / $338.94 / $338.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.22 / $355.89 / $450.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $223.70 / $223.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $250.00 / $935.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.75 / $245.75 / $950.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.24 / $245.75 / $275.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.12 / $368.12 / $368.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $375.27 / $564.27