go back

Michigan rates for HCPCS 49405

Image-Guide Fluid Collxn Drainage Cath Visc Perq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.40 / $2,877.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.10 / $1,413.59 / $1,894.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.72 / $2,877.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $4,857.00 / $6,036.00