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Michigan rates for HCPCS 64633

Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.25 / $1,761.44 / $4,933.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,918.18 / $6,079.81 / $7,508.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.72 / $395.24 / $650.07
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$280.01 / $589.01 / $1,236.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.96 / $192.96 / $192.96
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$289.44 / $289.44 / $289.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.19 / $2,082.38 / $2,821.29
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,121.33 / $1,450.89 / $1,763.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.84 / $355.58 / $495.66
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$460.97 / $460.97 / $1,029.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.27 / $225.96 / $270.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.56 / $509.52 / $780.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.05 / $359.10 / $725.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.25 / $2,056.00 / $5,570.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,918.18 / $6,079.81 / $7,508.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.34 / $443.23 / $666.02
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$321.29 / $889.02 / $1,440.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.13 / $343.06 / $507.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.18 / $526.52 / $666.07