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Michigan rates for HCPCS 91113

Gi Tract Imaging Intraluminal Colon I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.96 / $1,022.96 / $1,022.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.58 / $1,022.96 / $1,022.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.29 / $177.29 / $177.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.29 / $1,271.83 / $1,526.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.53 / $999.53 / $999.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.75 / $1,211.74 / $2,274.71
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.42 / $895.42 / $1,022.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.56 / $895.42 / $1,119.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $686.50 / $1,010.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.15 / $1,114.74 / $1,565.88