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Michigan rates for HCPCS A4211

Supplies for self-administered injections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $2.50 / $2.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $6.79 / $12.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.34 / $2.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $3.00 / $20.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $1,500.00