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Michigan rates for HCPCS 69740

Sutr Nrv Itprl W/Wo Grf/Dcmprn Lat Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.30 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.63 / $1,370.30 / $1,484.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.39 / $5,567.33 / $7,584.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.20 / $1,731.98 / $2,889.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.25 / $1,343.59 / $2,391.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.96 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.96 / $1,294.08 / $1,760.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $883.57 / $1,377.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.44 / $1,417.96 / $1,952.33