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Michigan rates for HCPCS 76975

Gi Endoscopic Us S&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.39 / $270.39 / $270.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.99 / $228.21 / $270.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.97 / $360.07 / $640.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $62.76 / $77.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.04 / $115.72 / $223.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.49 / $130.84 / $270.39
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.49 / $130.84 / $270.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.95 / $37.27 / $66.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.13 / $230.13 / $230.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.15 / $275.73 / $332.74