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Michigan rates for HCPCS E1594

Cycler Dialysis Machine For Peritoneal Dialysis (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.68 / $369.68 / $369.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.68 / $369.68 / $442.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.30 / $354.79 / $726.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.69 / $138.91 / $165.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.96 / $498.96 / $498.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.68 / $369.68 / $369.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.68 / $369.68 / $500.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00