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Michigan rates for HCPCS E0272

Mattress, foam rubber

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.24 / $143.24 / $143.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.80 / $139.78 / $143.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.46 / $492.10 / $933.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $128.94 / $232.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.17 / $83.81 / $122.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.75 / $103.15 / $137.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.30 / $120.30 / $120.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.26 / $120.30 / $163.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $143.24 / $174.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.19 / $137.88 / $174.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.89 / $15.28 / $132.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.81 / $108.98 / $198.90