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Michigan rates for HCPCS 64483

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.63 / $1,677.54 / $3,155.63
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$991.71 / $2,056.00 / $4,310.28
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$28.00 / $29.08 / $63.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $237.80 / $503.63
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$178.98 / $377.56 / $1,334.00
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$20.85 / $40.49 / $63.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.04 / $237.66 / $399.49
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$166.56 / $318.58 / $599.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.71 / $1,460.65 / $3,430.15
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$579.62 / $889.75 / $1,158.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.19 / $157.54 / $286.06
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$266.04 / $266.04 / $583.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.77 / $130.29 / $155.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.24 / $288.52 / $441.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.08 / $190.98 / $414.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.71 / $1,760.46 / $3,113.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$991.71 / $2,617.46 / $4,310.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$28.00 / $28.00 / $60.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.49 / $239.71 / $418.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$179.24 / $458.91 / $1,282.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$28.00 / $47.10 / $74.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.70 / $236.99 / $335.79
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
$228.14 / $292.01 / $395.63