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Michigan rates for HCPCS 64635

Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.66 / $1,211.75 / $4,162.28
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$704.58 / $3,749.05 / $7,375.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.90 / $407.68 / $721.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$330.47 / $870.21 / $2,737.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.19 / $378.19 / $423.31
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$289.08 / $289.08 / $634.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.66 / $2,332.92 / $3,160.75
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,072.54 / $1,646.40 / $2,031.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.28 / $355.58 / $495.66
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$460.97 / $460.97 / $1,038.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.12 / $225.91 / $270.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.98 / $513.63 / $786.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.99 / $359.31 / $719.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.66 / $1,958.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,089.56 / $4,337.00 / $8,266.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.29 / $435.45 / $721.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$309.56 / $870.21 / $1,960.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.69 / $344.54 / $515.48
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
$415.16 / $532.78 / $688.13