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Michigan rates for HCPCS K0019

Arm Pad Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $13.12 / $13.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $18.92 / $18.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $59.55 / $79.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $12.40 / $22.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $9.58 / $12.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $9.92 / $16.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $10.65 / $13.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $12.74 / $14.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $13.25 / $20.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $9.23 / $14.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $9.78 / $16.01