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Michigan rates for HCPCS 76100

Radex 1 Plne Body Section Oth/Thn W/Urograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.49 / $33.49 / $33.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.81 / $102.46 / $119.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.78 / $68.97 / $86.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.83 / $100.81 / $151.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.81 / $123.82 / $240.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.41 / $80.98 / $161.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.09 / $25.09 / $33.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.86 / $102.46 / $155.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.87 / $68.97 / $103.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $76.71 / $117.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.79 / $107.05 / $151.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.36 / $73.98 / $116.77