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Michigan rates for HCPCS E0352

Disposable pack (water reservoir bag, speculum, valving mechanism, and collection bag/box) for use with the electronic bowel irrigation/evacuation system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $4.00 / $4.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $6.04 / $17.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.28 / $4.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00