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Michigan rates for HCPCS 73615

Radex Ankle 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
$92.42 / $146.77 / $192.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.34 / $222.90 / $445.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.07 / $31.07 / $31.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.79 / $139.29 / $274.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.77 / $22.77 / $32.22
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.28 / $123.46 / $204.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $108.90 / $159.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.05 / $119.65 / $184.89