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Michigan rates for HCPCS 72265

Myelograpy Lumbosacral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.99 / $46.99 / $46.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.63 / $125.22 / $155.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.08 / $78.23 / $115.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.26 / $129.07 / $185.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.47 / $45.47 / $45.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.54 / $152.90 / $272.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.53 / $92.96 / $200.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.29 / $32.29 / $46.99
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.53 / $123.47 / $178.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.56 / $78.23 / $117.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $76.59 / $117.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.49 / $130.80 / $213.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.85 / $83.48 / $138.16