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Michigan rates for HCPCS 64480

Njx Aa&/Strd Tfrml Epi Cervical/Thoracic Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.23 / $218.39 / $2,056.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.48 / $112.20 / $192.21
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$625.00 / $625.00 / $625.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.98 / $609.13 / $825.27
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$328.01 / $424.41 / $559.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $98.00 / $203.84
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$196.00 / $196.00 / $427.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.16 / $110.58 / $218.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.23 / $1,327.48 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.06 / $127.75 / $223.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$625.00 / $625.00 / $625.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $135.73 / $192.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.73 / $152.68 / $204.41