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Michigan rates for HCPCS A4720

Dialysat sol fld vol > 249cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.67 / $19.67 / $19.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $19.67 / $19.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $7.24 / $14.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.84 / $3.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.60 / $39.60 / $39.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.67 / $19.67 / $19.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $19.67 / $19.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00