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Michigan rates for HCPCS 77425

Intraoperative radiation treatment delivery, electrons, single treatment session

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.01 / $260.01 / $260.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.01 / $260.01 / $411.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,268.28 / $11,387.23 / $20,249.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,790.22 / $7,147.60 / $9,649.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.40 / $167.07 / $190.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.01 / $260.01 / $17,954.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.71 / $260.01 / $334.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00