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Michigan rates for HCPCS R0075

Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.16 / $221.16 / $221.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.09 / $221.16 / $221.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.72 / $30.89 / $54.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.42 / $20.36 / $26.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.13 / $261.13 / $261.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.53 / $182.29 / $182.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.23 / $116.23 / $221.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.23 / $133.08 / $286.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.69 / $42.59 / $81.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.67 / $184.75 / $309.64