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Michigan rates for HCPCS 77761

Intracavitary radiation source application; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $478.24 / $478.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.64 / $478.24 / $478.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.71 / $529.97 / $942.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.26 / $542.22 / $861.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.66 / $521.49 / $922.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $291.14 / $478.24
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.14 / $387.40 / $595.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.98 / $240.09 / $467.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.83 / $453.74 / $566.04