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Michigan rates for HCPCS 74430

Cystography Minimum 3 Views Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.96 / $17.96 / $22.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.25 / $55.15 / $87.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.58 / $17.96 / $39.14
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.27 / $41.56 / $63.64
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.16 / $12.17 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.41 / $53.11 / $74.09
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.37 / $23.97 / $23.97
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.08 / $42.08 / $42.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.36 / $17.36 / $17.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.67 / $61.96 / $119.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.34 / $18.97 / $36.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.86 / $37.11 / $71.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.11 / $17.96 / $22.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.36 / $48.83 / $76.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.11 / $17.96 / $38.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.03 / $31.76 / $51.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $32.80 / $45.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $49.87 / $82.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.36 / $17.05 / $26.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.08 / $29.61 / $64.42