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Michigan rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.45 / $78.47 / $82.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.86 / $108.54 / $141.07
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.95 / $62.65 / $100.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $135.30 / $156.66
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.59 / $107.59 / $107.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.43 / $148.87 / $327.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.97 / $86.32 / $140.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.21 / $78.45 / $79.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.25 / $104.87 / $154.57
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.21 / $65.77 / $105.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.70 / $53.66 / $80.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.28 / $113.04 / $204.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.97 / $74.70 / $95.37