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Michigan rates for HCPCS 77331

Spec Dosim Only Prescribed Treating Phys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.80 / $53.80 / $53.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $61.18 / $106.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.99 / $44.36 / $99.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.92 / $21.17 / $28.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.49 / $44.49 / $46.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $83.38 / $132.44
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.03 / $74.03 / $74.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $90.40 / $143.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.72 / $64.56 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.53 / $25.33 / $42.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.14 / $34.14 / $53.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.16 / $60.28 / $98.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.14 / $44.36 / $73.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.03 / $19.94 / $28.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $40.55 / $73.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $72.70 / $103.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.53 / $52.15 / $73.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.11 / $20.90 / $27.32