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Michigan rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.79 / $14.79 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $74.13 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $20.89 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.36 / $46.77 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $42.66 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $12.02 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $44.67 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $77.62 / $83.18
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $20.42 / $27.54
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $63.10 / $85.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $44.67 / $72.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3.09 / $14.45 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $69.18 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $18.20 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $52.48 / $112.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.79 / $14.79 / $31.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $66.07 / $154.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $17.78 / $48.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $44.67 / $85.11
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3.09 / $14.45 / $20.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $54.95 / $112.20
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $16.22 / $34.67
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $39.81 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $53.70 / $79.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $15.49 / $23.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $37.15 / $57.54