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Michigan rates for HCPCS A4310

Insertion Tray Without Drainage Bag And Without Catheter (Accessories Only) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.22 / $8.22 / $8.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $8.02 / $8.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.66 / $32.54 / $61.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $11.22 / $14.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $5.51 / $15.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $7.79 / $8.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.79 / $12.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $5.88 / $9.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $5.05 / $7.72