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Michigan rates for HCPCS 90957

Esrd Related Svc Monthly 12-19 Yr Old 4/> Visits

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.96 / $902.96 / $902.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.91 / $751.78 / $986.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.89 / $1,138.89 / $1,138.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.55 / $1,218.06 / $1,423.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.79 / $814.23 / $1,972.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.26 / $628.26 / $902.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.26 / $751.78 / $1,055.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.95 / $722.31 / $989.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.19 / $744.71 / $1,161.21