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Michigan rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $13.14 / $16.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.66 / $0.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $2.87 / $5.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.06 / $1.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.61 / $1.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $13.14 / $16.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.72 / $1.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $30.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.46 / $0.72