go back

Michigan rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.77 / $12.77 / $19.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $12.77 / $12.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $15.07 / $26.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $10.08 / $13.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $15.69 / $19.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $12.77 / $23.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $16.13 / $19.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $11.00 / $11.66