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Michigan rates for HCPCS Q5003

Hospice care provided in nursing long-term care facility (LTC) or nonskilled nursing facility (NF)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.72 / $131.72 / $131.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.45 / $131.72 / $132.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.76 / $56.76 / $56.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.72 / $131.72 / $131.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.72 / $131.72 / $137.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00