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Michigan rates for HCPCS A4216

Sterile Water Saline And/Or Dextrose Diluent/ Flush 10 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.47 / $25.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.36 / $0.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.87 / $3.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.64 / $0.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.64 / $0.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.65 / $1.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $1.20 / $1.24
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $1.22 / $1.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.49