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Michigan rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.18 / $1.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.82 / $8.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.56 / $2.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.10 / $1.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.18 / $1.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.75 / $1.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.74 / $1.12