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Michigan rates for HCPCS 90967

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $20.66 / $20.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $18.17 / $22.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $25.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.15 / $27.58 / $32.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $21.34 / $48.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.25 / $17.59 / $20.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $18.60 / $24.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.08 / $11.08 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $20.77 / $29.52