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Michigan rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.87 / $239.87 / $299.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $345.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.98 / $27.48 / $48.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $18.22 / $24.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $239.87 / $299.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $16.57 / $299.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00