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Michigan rates for HCPCS 76641

Us Breast Uni Real Time With Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.43 / $41.43 / $52.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.57 / $118.18 / $184.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.12 / $37.54 / $79.51
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$191.91 / $232.10 / $783.34
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.21 / $76.75 / $116.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $80.59 / $99.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.83 / $42.98 / $67.31
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$108.69 / $126.45 / $148.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.92 / $158.49 / $350.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.39 / $55.39 / $55.39
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$277.07 / $325.95 / $325.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.13 / $77.43 / $124.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.72 / $39.72 / $39.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.52 / $128.90 / $279.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.19 / $43.84 / $101.75
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$123.38 / $157.99 / $179.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.74 / $85.05 / $196.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.36 / $41.43 / $52.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.65 / $118.18 / $180.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.36 / $41.43 / $62.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$132.00 / $271.42 / $749.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.29 / $76.75 / $105.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $77.58 / $119.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.24 / $116.55 / $163.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.72 / $41.00 / $54.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.91 / $75.22 / $99.04