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Michigan rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $3.13 / $3.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.99 / $3.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $12.39 / $23.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $4.26 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $5.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $3.13 / $7.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.96 / $4.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.97 / $4.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.93 / $2.99