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Michigan rates for HCPCS A4322

Irrigation Syringe Bulb Or Piston Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $3.24 / $3.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $12.85 / $24.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.43 / $5.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.18 / $6.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $3.07 / $5.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.31 / $3.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.00 / $3.04