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Michigan rates for HCPCS 74355

Percutaneous Placement Enteroclysis Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.21 / $152.21 / $152.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.29 / $137.16 / $152.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.44 / $225.68 / $404.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.09 / $56.48 / $69.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.84 / $161.63 / $299.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.18 / $117.42 / $179.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.42 / $148.84 / $209.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.75 / $37.19 / $91.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.10 / $158.90 / $202.23