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Michigan rates for HCPCS 0492T

Ablative laser treatment, non-contact, full field and fractional ablation, open wound, per day, total treatment surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.89 / $669.89 / $669.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.16 / $669.89 / $693.38