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Michigan rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.05 / $166.05 / $528.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $153.90 / $183.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.04 / $236.04 / $236.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.44 / $236.04 / $295.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $292.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.05 / $182.75 / $182.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.52 / $174.59 / $201.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.70 / $135.41 / $193.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.32 / $204.45 / $253.25