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Michigan rates for HCPCS 72052

Radex Spine Cervical 6 Or More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.14 / $17.14 / $18.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.84 / $70.56 / $111.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.88 / $17.14 / $38.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.86 / $53.41 / $89.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.17 / $60.20 / $60.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.20 / $17.22 / $25.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $87.99 / $111.14
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.90 / $22.90 / $22.90
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.73 / $76.16 / $76.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $53.66 / $78.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.57 / $16.57 / $16.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.93 / $74.55 / $132.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.20 / $20.74 / $37.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.39 / $54.63 / $102.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.90 / $17.14 / $18.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.06 / $70.56 / $111.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.90 / $17.14 / $33.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.17 / $53.40 / $82.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $50.77 / $80.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $66.26 / $90.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.75 / $18.72 / $27.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.17 / $46.88 / $66.26