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Michigan rates for HCPCS 20665

Removal of tongs or halo applied by another individual

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $208.93 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $302.00 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $954.99 / $1,737.80