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Michigan rates for HCPCS G6002

Stereoscopic X-Ray Guidance For Localization Of Target Volume For The Delivery Of Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.14 / $24.14 / $24.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.02 / $79.77 / $127.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.82 / $24.14 / $46.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.07 / $59.30 / $72.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $84.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.45 / $27.62 / $29.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $98.60 / $118.69
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.07 / $28.07 / $33.02
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.88 / $87.88 / $87.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $69.23 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $67.55 / $253.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.45 / $18.45 / $22.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.10 / $49.10 / $57.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.36 / $15.36 / $24.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.56 / $72.52 / $102.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.36 / $21.69 / $45.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.20 / $53.90 / $72.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.89 / $65.20 / $88.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $103.25 / $164.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.70 / $23.81 / $28.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.40 / $73.17 / $136.46