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Michigan rates for HCPCS 75984

Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.39 / $44.39 / $44.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.98 / $106.79 / $132.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.98 / $102.18 / $176.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.25 / $126.13 / $227.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.06 / $37.36 / $45.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.90 / $102.74 / $156.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $77.58 / $119.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.66 / $114.24 / $143.36