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Michigan rates for HCPCS 74742

Transcervical catheterization of fallopian tube, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.26 / $95.26 / $95.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.86 / $95.26 / $95.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.44 / $329.19 / $663.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $57.81 / $94.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.67 / $105.42 / $269.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $70.66 / $95.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $85.18 / $186.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $35.97 / $49.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.23 / $130.06 / $206.52