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Michigan rates for HCPCS 77772

Hdr Rdncl Ntrstl/Intrcav Brachytx >12 Channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$331.09 / $331.09 / $347.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.84 / $1,013.13 / $1,540.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.51 / $1,298.60 / $1,520.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.87 / $1,330.59 / $1,963.53
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.66 / $331.09 / $337.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.19 / $823.37 / $1,301.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.73 / $615.87 / $991.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.93 / $1,009.90 / $1,437.96