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Michigan rates for HCPCS 61702

Simple Intracranial Arysm Vertebrobasilar Crcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,933.00 / $4,933.00 / $5,464.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,458.41 / $5,262.21 / $5,464.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,186.46 / $22,396.38 / $30,510.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.38 / $8,117.27 / $14,026.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,545.23 / $4,965.25 / $7,754.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,437.58 / $4,933.00 / $5,262.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,437.58 / $4,651.93 / $7,228.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.12 / $2,961.06 / $4,952.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,226.09 / $5,145.30 / $6,801.93