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Michigan rates for HCPCS 70542

Mri Orbit Face & Neck W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.84 / $98.84 / $103.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.19 / $344.59 / $522.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.54 / $384.62 / $510.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.60 / $87.60 / $87.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.70 / $572.96 / $974.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.40 / $98.84 / $100.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.52 / $408.16 / $582.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.51 / $196.97 / $304.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.97 / $461.72 / $692.34