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Michigan rates for HCPCS 63064

Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.10 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,279.79 / $7,370.62 / $9,986.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,913.84 / $2,324.10 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $11,152.00 / $20,268.00