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Michigan rates for HCPCS 86890

Autologous blood or component, collection processing and storage; predeposited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.88 / $83.88 / $104.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.09 / $83.88 / $83.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.18 / $17.32 / $30.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.63 / $15.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $84.25 / $105.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.16 / $83.88 / $154.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.16 / $75.48 / $115.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $43.35 / $63.93