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Michigan rates for HCPCS 74415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.62 / $26.30 / $38.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.42 / $50.12 / $56.23
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.62 / $26.30 / $38.02