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Michigan rates for HCPCS 76815

Us Pregnant Uterus Limited 1/> Fetuses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.07 / $37.07 / $46.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.59 / $100.59 / $296.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.75 / $40.07 / $171.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.17 / $62.21 / $117.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.42 / $78.48 / $110.28
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.80 / $30.41 / $54.74
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.29 / $44.29 / $44.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.53 / $100.85 / $134.05
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.65 / $49.00 / $49.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.91 / $79.89 / $79.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $57.51 / $97.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.11 / $35.11 / $35.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $103.20 / $218.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.73 / $37.94 / $91.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.13 / $64.58 / $144.85
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.53 / $37.07 / $41.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.90 / $94.18 / $187.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.53 / $38.01 / $115.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.37 / $57.39 / $100.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.64 / $47.07 / $121.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $95.14 / $135.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.15 / $34.60 / $47.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.62 / $58.67 / $80.67