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Michigan rates for HCPCS 85175

Clot lysis time, whole blood dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $16.98 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $23.44 / $29.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $19.50 / $35.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $15.85 / $24.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.55 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $20.42 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.89 / $12.30