go back

Michigan rates for HCPCS A4750

Blood tubing, arterial or venous, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $6.17 / $8.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $12.07 / $24.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.73 / $5.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $11.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $8.19 / $8.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.19 / $10.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $5.23 / $9.78