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Michigan rates for HCPCS 77076

Radiologic Examination Osseous Survey Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.59 / $162.34 / $240.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.43 / $119.56 / $189.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.28 / $175.33 / $304.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.25 / $151.86 / $193.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.05 / $120.05 / $120.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.31 / $121.54 / $229.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $128.71 / $264.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.21 / $115.86 / $189.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $76.71 / $117.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.97 / $108.97 / $108.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.66 / $102.91 / $152.25