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Michigan rates for HCPCS 96904

Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $77.86 / $115.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.73 / $58.73 / $58.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.15 / $103.06 / $123.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.95 / $73.25 / $276.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.53 / $71.93 / $98.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.19 / $67.24 / $94.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.37 / $73.13 / $96.51