go back

Michigan rates for HCPCS 77263

Therapeutic Radiology Tx Planning Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.01 / $298.52 / $620.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.57 / $197.94 / $401.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.36 / $193.67 / $242.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.97 / $253.97 / $253.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.27 / $266.67 / $304.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.27 / $176.30 / $224.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.35 / $239.81 / $370.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $256.11 / $371.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.30 / $298.52 / $1,360.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.30 / $194.14 / $362.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.75 / $165.30 / $202.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.83 / $194.29 / $244.75