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Michigan rates for HCPCS 77065

Diagnostic Mammography Computer-Aided Detcj Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.42 / $45.42 / $47.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.53 / $142.56 / $400.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.46 / $45.43 / $122.76
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$129.36 / $129.36 / $164.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.48 / $97.13 / $164.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.53 / $96.84 / $122.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.67 / $40.96 / $66.14
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.00 / $114.00 / $114.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $163.71 / $229.72
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.72 / $60.72 / $60.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.06 / $140.07 / $140.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.79 / $100.85 / $160.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.97 / $43.97 / $43.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.58 / $163.51 / $276.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.83 / $47.11 / $95.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.75 / $116.83 / $200.53
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.30 / $45.42 / $47.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.70 / $142.56 / $260.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.30 / $45.42 / $102.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$129.36 / $129.36 / $164.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.41 / $97.12 / $155.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $108.90 / $159.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.37 / $142.79 / $205.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.61 / $46.05 / $92.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.75 / $99.17 / $141.84