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Michigan rates for HCPCS 42550

Injection Procedure Sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.73 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $111.52 / $193.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.05 / $870.36 / $2,093.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $91.13 / $152.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.94 / $104.94 / $104.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.59 / $133.08 / $328.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.30 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.73 / $136.50 / $225.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.54 / $131.84 / $186.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,438.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.54 / $181.49 / $304.19