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Michigan rates for HCPCS 64484

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.17 / $982.69 / $1,873.02
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$129.08 / $858.19 / $1,195.44
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$13.13 / $13.63 / $28.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $103.90 / $312.52
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$75.88 / $143.31 / $329.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.05 / $107.06 / $180.38
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$143.72 / $143.72 / $143.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.49 / $473.58 / $641.63
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$255.02 / $297.08 / $418.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $60.15 / $174.69
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$160.84 / $160.84 / $349.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.69 / $59.74 / $71.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.21 / $130.27 / $200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.30 / $91.44 / $184.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.17 / $678.28 / $2,056.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$129.08 / $858.19 / $1,195.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$13.13 / $13.13 / $27.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.49 / $108.04 / $189.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$75.88 / $143.31 / $329.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $101.78 / $144.21
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
$99.49 / $136.77 / $199.26