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Michigan rates for HCPCS 74410

Urography, infusion, drip technique and/or bolus technique;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.10 / $27.10 / $27.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.88 / $159.49 / $159.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.06 / $132.38 / $132.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $207.65 / $249.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.26 / $26.26 / $26.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.11 / $145.11 / $296.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.64 / $120.00 / $245.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.39 / $19.39 / $27.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.05 / $134.21 / $198.06
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.65 / $111.46 / $170.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.71 / $115.34 / $165.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.46 / $122.89 / $178.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.67 / $98.43 / $142.59