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Michigan rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.54 / $2,336.67 / $3,140.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.06 / $374.00 / $526.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $120.82 / $120.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.78 / $11.78 / $11.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.59 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,438.00 / $2,029.00