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Michigan rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $131.83 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $120.23 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $190.55 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $407.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $239.88
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $151.36 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,258.93 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $162.18 / $239.88