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Michigan rates for HCPCS 28475

Cltx Metar Fx W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.62 / $341.22 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $259.02 / $382.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.31 / $269.31 / $269.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.08 / $216.06 / $292.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.12 / $355.56 / $586.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.40 / $284.25 / $492.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.30 / $341.22 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.12 / $288.17 / $426.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.16 / $187.65 / $302.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.86 / $303.92 / $413.90