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Michigan rates for HCPCS 73115

Radex Wrist Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.22 / $32.22 / $32.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.82 / $153.44 / $237.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.34 / $209.40 / $450.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.72 / $30.72 / $30.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.17 / $141.44 / $281.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.50 / $32.22 / $32.22
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.99 / $135.36 / $215.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $108.90 / $159.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.40 / $119.34 / $167.02