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Michigan rates for HCPCS 0689T

Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained without diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tissue, target structure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.09 / $79.09 / $79.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.33 / $82.33 / $82.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $85.30 / $108.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.09 / $79.09 / $79.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.00 / $303.00 / $3,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00