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Michigan rates for HCPCS 76499

Unlisted diagnostic radiographic procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.20 / $128.08 / $31,685.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.45 / $250.90 / $645.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.00 / $232.00 / $232.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.64 / $130.22 / $7,267.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.65 / $231.50 / $270.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00