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Michigan rates for HCPCS 75805

Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,269.60 / $3,269.60 / $3,269.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.87 / $2,822.85 / $3,269.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,280.95 / $4,688.52 / $8,148.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $60.14 / $77.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.32 / $285.32 / $285.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.07 / $318.00 / $593.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.23 / $218.23 / $3,269.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.23 / $355.56 / $3,269.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $37.19 / $180.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,467.09 / $2,467.09 / $2,861.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.27 / $804.10 / $3,033.26