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Michigan rates for HCPCS 15574

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.50 / $1,022.65 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.33 / $861.50 / $1,022.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.10 / $2,779.80 / $3,910.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.82 / $1,089.08 / $2,042.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.19 / $844.44 / $3,022.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.50 / $4,112.00 / $5,756.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.44 / $927.50 / $1,170.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.25 / $610.28 / $984.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.38 / $3,523.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.38 / $1,027.27 / $1,309.92