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Michigan rates for HCPCS 78140

Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.36 / $123.31 / $123.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.22 / $123.31 / $123.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.66 / $203.11 / $361.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.88 / $152.99 / $172.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.36 / $188.45 / $298.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.36 / $108.06 / $123.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.06 / $118.00 / $180.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.19 / $107.91 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.39 / $141.31 / $212.85