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Michigan rates for HCPCS A4690

Dialyzer (Artificial Kidneys) All Types All Sizes For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.04 / $323.04 / $323.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.59 / $323.04 / $420.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.19 / $5,884.19 / $12,051.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.48 / $2,303.91 / $2,742.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $630.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.04 / $428.12 / $465.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.45 / $428.12 / $535.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.16 / $271.62 / $488.93