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Michigan rates for HCPCS 70480

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.56 / $78.56 / $82.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $255.84 / $394.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.15 / $78.56 / $188.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.43 / $177.61 / $291.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.46 / $104.63 / $156.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.83 / $59.85 / $86.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.14 / $203.70 / $268.08
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.40 / $96.40 / $96.40
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.38 / $161.38 / $161.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $116.18 / $199.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.79 / $69.79 / $69.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.96 / $293.31 / $562.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.30 / $72.51 / $149.22
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.81 / $202.68 / $359.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.09 / $78.56 / $82.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.33 / $237.13 / $375.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.09 / $78.56 / $182.01
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.70 / $187.04 / $255.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $108.90 / $159.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.17 / $256.93 / $389.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.24 / $67.36 / $106.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.04 / $190.32 / $304.11