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Michigan rates for HCPCS A4649

Surgical supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,913.28 / $2,007.09 / $2,007.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $120.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.29 / $412.64 / $805.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $2,007.09 / $2,007.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $1.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00