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Michigan rates for HCPCS 75880

Venography Orbital Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.49 / $123.33 / $123.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.79 / $123.33 / $155.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.41 / $248.80 / $493.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $172.11 / $344.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.42 / $120.42 / $120.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.73 / $139.22 / $298.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.49 / $105.27 / $123.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.99 / $116.57 / $178.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $76.59 / $117.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.62 / $541.62 / $541.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.66 / $126.87 / $213.08