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Michigan rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.49 / $0.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $4.07 / $8.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.40 / $1.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.83 / $1.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.66 / $0.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.66 / $0.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.43 / $0.79