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Michigan rates for HCPCS 77385

Intensity Modulated Radiation Tx Dlvr Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $596.91 / $1,241.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.94 / $511.23 / $596.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.55 / $780.29 / $1,361.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.45 / $494.16 / $667.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.20 / $336.83 / $428.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.07 / $434.78 / $672.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.63 / $605.73 / $655.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.93 / $940.13 / $2,182.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.50 / $338.34 / $503.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.08 / $418.92 / $543.29