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Michigan rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $1.26 / $2.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.47 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $4.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.37 / $0.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.37 / $0.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $4.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.21 / $0.35