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Michigan rates for HCPCS D0330

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.89 / $43.59 / $53.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.64 / $51.83 / $54.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $47.90 / $58.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $118.50 / $118.50