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Michigan rates for HCPCS 74425

Antegrade Urography Radiological Supvj & Interpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.28 / $28.28 / $28.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.34 / $154.66 / $196.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.65 / $219.11 / $458.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.06 / $27.06 / $27.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.87 / $109.76 / $285.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.36 / $14.36 / $28.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.11 / $123.15 / $189.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $108.90 / $159.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.54 / $125.49 / $422.69