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Michigan rates for HCPCS 0692T

Therapeutic ultrafiltration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $79.77 / $90.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $80.64 / $98.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.73 / $1,532.73 / $1,532.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.09 / $1,640.02 / $1,915.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.68 / $104.68 / $104.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.79 / $1,525.00 / $1,525.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.51 / $103.54 / $145.93