go back

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
$158.49 / $1,737.80 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$18.20 / $18.20 / $18.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $1,023.29 / $4,897.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $954.99 / $1,737.80