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Michigan rates for HCPCS A5102

Bedside drainage bottle with or without tubing, rigid or expandable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.01 / $24.01 / $24.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $24.01 / $24.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.73 / $95.93 / $173.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $31.53 / $42.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $20.34 / $20.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.22 / $25.22 / $25.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $18.95 / $18.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $20.98 / $36.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.80 / $24.01 / $30.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $24.01 / $35.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.64 / $26.80 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.81 / $22.58