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Michigan rates for HCPCS E0300

Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.40 / $2,412.40 / $2,412.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.37 / $2,412.40 / $2,412.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.41 / $6,204.61 / $15,057.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.02 / $2,453.06 / $4,415.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.48 / $202.48 / $202.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.20 / $249.20 / $3,738.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.82 / $1,950.00 / $3,611.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.40 / $2,470.29 / $2,470.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.76 / $2,470.29 / $3,211.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.20 / $1,512.91 / $2,231.66