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Michigan rates for HCPCS 71130

Radiologic examination; sternoclavicular joint or joints, minimum of 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.34 / $12.34 / $15.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $42.26 / $69.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.97 / $10.45 / $16.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.28 / $31.79 / $53.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.02 / $13.82 / $14.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.44 / $58.19 / $82.69
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.51 / $16.51 / $16.51
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.65 / $49.00 / $49.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.95 / $11.95 / $11.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.01 / $47.25 / $87.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.33 / $12.89 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.51 / $34.83 / $64.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.66 / $12.34 / $12.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.04 / $44.24 / $70.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.66 / $11.61 / $17.39
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $32.61 / $51.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $32.80 / $45.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.14 / $39.45 / $58.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.82 / $11.98 / $18.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.01 / $27.64 / $39.49