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Michigan rates for HCPCS 78261

Gastric Mucosa Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.83 / $211.40 / $211.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.54 / $211.40 / $211.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.25 / $367.32 / $653.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $256.45 / $311.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.27 / $343.01 / $551.53
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.83 / $201.22 / $211.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.59 / $201.22 / $325.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $169.62 / $227.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.50 / $227.89 / $297.08