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Michigan rates for HCPCS 64461

Pvb Thoracic Single Injection Site W/Img Gid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.80 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$654.72 / $654.72 / $654.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.61 / $117.73 / $176.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.00 / $190.40 / $447.12
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$80.64 / $103.09 / $144.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $115.03 / $138.04
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$123.03 / $211.44 / $211.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.61 / $126.66 / $233.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.44 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$654.72 / $654.72 / $654.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.68 / $143.44 / $208.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.37 / $135.99 / $193.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $3,005.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.01 / $179.33 / $237.42