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Michigan rates for HCPCS 77470

Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.81 / $125.82 / $158.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.31 / $194.26 / $260.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.92 / $125.82 / $262.51
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.07 / $67.28 / $109.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.35 / $143.82 / $158.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.82 / $137.84 / $149.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.26 / $208.15 / $295.80
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$172.03 / $172.03 / $172.03
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.31 / $62.31 / $62.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.40 / $150.51 / $232.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.27 / $215.29 / $364.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.00 / $155.28 / $238.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.37 / $57.19 / $137.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.91 / $125.81 / $128.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.16 / $161.88 / $243.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.91 / $125.81 / $237.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.07 / $55.25 / $100.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.82 / $98.87 / $144.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.78 / $187.10 / $437.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.45 / $121.88 / $172.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.98 / $59.98 / $259.23