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Michigan rates for HCPCS 61651

Evasc Intracranial Prolng Admn Rx Agent Art Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.43 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.40 / $1,169.21 / $1,840.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.81 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $4,056.00 / $6,036.00