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Michigan rates for HCPCS 78494

Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.33 / $65.33 / $65.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.67 / $242.31 / $311.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.67 / $265.39 / $347.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.62 / $361.96 / $501.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.77 / $45.77 / $65.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.70 / $225.48 / $357.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.19 / $169.62 / $227.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.10 / $269.54 / $362.24