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Michigan rates for HCPCS 73040

Radex Shoulder Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.85 / $31.85 / $39.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.57 / $137.63 / $219.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.64 / $31.85 / $41.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.93 / $107.21 / $178.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.99 / $124.99 / $124.99
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.38 / $25.38 / $25.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.84 / $231.86 / $429.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.22 / $42.61 / $42.61
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.04 / $164.04 / $164.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.37 / $30.37 / $30.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $135.26 / $276.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.80 / $32.75 / $64.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.89 / $107.77 / $217.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.97 / $31.85 / $39.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.01 / $135.54 / $212.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.97 / $29.94 / $45.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.04 / $99.85 / $175.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $108.90 / $159.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.07 / $115.35 / $158.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.49 / $29.43 / $46.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.37 / $88.92 / $126.23