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Michigan rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.34 / $3.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $3.06 / $3.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $12.54 / $25.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $4.55 / $5.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $5.68 / $7.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.48 / $10.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $6.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $3.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.20 / $5.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.09 / $3.64