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Michigan rates for HCPCS A2004

XCelliStem, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $17.78 / $47.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.60 / $21.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $13.80