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Michigan rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.53 / $27.53 / $27.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $93.54 / $130.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $114.96 / $145.21
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.82 / $25.82 / $25.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.28 / $105.68 / $205.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.86 / $18.86 / $27.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $93.54 / $131.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.34 / $65.61 / $89.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.95 / $95.29 / $152.11