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Michigan rates for HCPCS 12005

Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.70 / $206.32 / $4,029.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.87 / $148.01 / $206.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.58 / $632.40 / $856.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $87.77 / $189.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.82 / $188.03 / $368.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.39 / $314.95 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.71 / $171.94 / $271.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.22 / $168.68 / $236.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,418.00 / $2,449.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.53 / $196.67 / $290.56