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Michigan rates for HCPCS 20500

Injection of sinus tract; therapeutic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.01 / $358.25 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $113.01 / $161.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.56 / $109.81 / $148.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.93 / $141.90 / $235.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.24 / $124.29 / $259.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.76 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.17 / $117.51 / $187.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $101.78 / $144.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.76 / $131.78 / $176.52