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Michigan rates for HCPCS 93280

Program Eval Implantable In Persn Dual Ld Pacer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.71 / $48.71 / $61.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.50 / $81.03 / $133.63
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$113.88 / $113.88 / $113.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.97 / $44.94 / $91.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.05 / $39.89 / $57.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.84 / $75.13 / $171.27
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.21 / $35.34 / $82.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.78 / $83.36 / $132.86
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.89 / $48.89 / $57.52
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.04 / $66.04 / $66.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.84 / $44.47 / $89.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $98.02 / $335.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.72 / $56.06 / $154.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.29 / $39.83 / $180.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.04 / $48.71 / $51.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.94 / $84.25 / $133.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$113.88 / $113.88 / $113.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.77 / $47.89 / $79.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.89 / $42.40 / $64.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $45.42 / $119.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $73.06 / $101.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.22 / $44.80 / $63.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.30 / $26.44 / $42.95