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Michigan rates for HCPCS 42550

Injection procedure for sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $138.04 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $138.04 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $138.04 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $138.04 / $323.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $154.88 / $208.93
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $125.89 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,258.93 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $141.25 / $239.88