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Michigan rates for HCPCS Q4168

AmnioBand, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $14.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $21.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $17.05 / $17.05
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $17.05 / $20.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $30.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $18.38