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Michigan rates for HCPCS A4305

Disposable Drug Delivery System Flow Rate Of 50 Ml Or Greater Per Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.42 / $6.42 / $6.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $6.42 / $7.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $18.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.42 / $8.51 / $9.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $8.51 / $11.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $5.43 / $10.30