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Michigan rates for HCPCS A6412

Eye patch, occlusive, each

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
$0.19 / $0.25 / $0.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.42 / $2.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.47 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $4.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.33 / $0.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.33 / $0.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.22 / $0.38