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Michigan rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $66 · 10th–90th $63$830%50%10th90th$66Professionalmedian $105 · 10th–90th $48$3720%10%10th90th$105$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $66.07 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $223.87 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $58.88 / $190.55
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $125.89 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $104.71 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $60.26 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $213.80
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $109.65
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $134.90 / $181.97
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $102.33 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $251.19 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $67.61 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $158.49 / $281.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $66.07 / $104.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $501.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $66.07 / $186.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $144.54 / $309.03
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $223.87 / $467.74
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $67.61 / $102.33
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $154.88 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $208.93 / $562.34
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $67.61 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $144.54 / $436.52