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Michigan rates for HCPCS 77399

Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.82 / $422.82 / $422.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.00 / $322.00 / $322.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.72 / $290.72 / $422.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $7.42 / $7.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00