go back

Michigan rates for HCPCS 92612

Flexible endoscopic evaluation of swallowing by cine or video recording;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $222.83 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.29 / $133.36 / $222.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.76 / $496.65 / $1,323.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $78.88 / $118.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.06 / $165.06 / $275.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.24 / $107.24 / $107.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $185.69 / $387.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.87 / $233.97 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $165.06 / $273.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.08 / $197.65 / $279.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $204.63 / $302.75