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Michigan rates for HCPCS A4860

Disposable catheter tips for peritoneal dialysis, per 10

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2.41 / $4.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.95 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00