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Michigan rates for HCPCS A4911

Drain bag/bottle, for dialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $36.20 / $74.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $14.18 / $16.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $6.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00