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Michigan rates for HCPCS 61796

Stereotactic Radiosurgery 1 Simple Cranial Les

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.61 / $1,332.61 / $1,383.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.88 / $1,332.61 / $1,743.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,887.17 / $5,696.16 / $7,717.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.75 / $421.66 / $1,795.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.17 / $1,225.66 / $1,981.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.11 / $1,074.11 / $1,332.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.11 / $1,201.39 / $1,743.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.18 / $761.54 / $1,281.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,359.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.52 / $1,266.77 / $1,762.75