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Michigan rates for HCPCS G0296

Counseling Visit To Discuss Need For Lung Cancer Screening (Ldct) Using Low Dose Ct Scan (Reinstated 01/01/16) Pet Imaging Full And Partial Ring Pet Scanner Only For Restaging Of Previously Treated Thyroid Cancer Of Follicular Cell Origin Following Negative I -131 Whole Body Scan (Deleted 4/1/2005)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.76 / $26.01 / $28.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $26.24 / $38.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.21 / $27.47 / $35.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.99 / $37.35 / $122.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $39.22 / $46.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $30.24 / $35.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.89 / $42.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $24.70 / $39.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.76 / $1,893.68 / $1,893.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.69 / $29.69 / $1,893.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $34.36 / $49.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $32.49 / $42.01