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Michigan rates for HCPCS A4320

Irrigation Tray With Bulb Or Piston Syringe Any Purpose (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $5.09 / $5.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $20.72 / $39.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $7.14 / $8.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $3.82 / $10.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $4.97 / $5.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.97 / $8.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $3.76 / $5.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.23 / $5.14