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Michigan rates for HCPCS 70450

Computed tomography, head or brain; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.78 / $51.78 / $54.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.53 / $179.16 / $399.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.49 / $51.78 / $167.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.12 / $131.91 / $263.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $89.51 / $105.31
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.54 / $41.48 / $73.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.44 / $47.44 / $47.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.76 / $153.76 / $194.22
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.32 / $63.91 / $63.91
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.18 / $109.18 / $109.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.98 / $78.59 / $133.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.92 / $45.92 / $45.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.95 / $216.16 / $345.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.21 / $50.10 / $100.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.67 / $134.68 / $240.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.82 / $51.78 / $53.32
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.59 / $147.43 / $376.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.75 / $51.78 / $131.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.01 / $111.61 / $204.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $76.59 / $117.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.43 / $170.52 / $258.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.09 / $44.19 / $70.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.62 / $88.34 / $188.44