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Michigan rates for HCPCS Q4189

Artacent AC, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $20.02 / $20.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $20.02 / $21.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $22.52 / $25.02
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $20.02 / $21.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $23.15