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Michigan rates for HCPCS 75801

Lymphangiography Extremity Only Unilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.04 / $50.04 / $50.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.31 / $48.31 / $48.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.33 / $38.33 / $50.04