go back

Michigan rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $14.13 / $19.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $31.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $23.44 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $28.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $22.39 / $56.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $19.05 / $26.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $11.75 / $21.88