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Michigan rates for HCPCS A4563

Rectal Control System For Vaginal Insertion For Long Term Use Includes Pump And All Supplies And Accessories Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.58 / $1,254.58 / $1,254.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.91 / $1,254.58 / $1,254.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,647.63 / $1,647.63 / $1,647.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.25 / $1,647.63 / $2,224.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.29 / $1,070.96 / $1,076.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.10 / $1,318.10 / $1,318.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.96 / $1,910.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.02 / $83.02 / $1,254.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.02 / $1,254.58 / $1,680.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.49 / $1,400.49 / $1,400.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $76.64 / $154.55