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Michigan rates for HCPCS 84377

Sugars Mono Di&Oligos Mlt Qualitative Each Spe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $5.23 / $8.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.23 / $5.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $6.45 / $11.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.13 / $5.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $6.20 / $7.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $5.23 / $9.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $6.60 / $7.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $4.51 / $4.76