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Michigan rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $24.25 / $37.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $22.25 / $24.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $17.73 / $17.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $28.88 / $50.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $19.14 / $25.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $29.32 / $36.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $24.25 / $44.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $22.24 / $30.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $21.14 / $28.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $8.15 / $15.32