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Michigan rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.76 / $1,522.14 / $3,166.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.20 / $1,014.76 / $1,014.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.68 / $2,343.59 / $4,167.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.49 / $1,544.59 / $1,765.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.74 / $1,164.49 / $2,075.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.67 / $1,522.14 / $7,633.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.67 / $828.22 / $1,303.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.80 / $978.62 / $1,241.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.78 / $886.62 / $1,493.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.44 / $909.90 / $1,215.73