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Michigan rates for HCPCS 11004

Dbrdmt Skn Sbq T/M/F Necro Infctj Xtrnl Gent&Per

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.14 / $675.14 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,745.86 / $3,200.40 / $4,336.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.86 / $675.14 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $3,869.00 / $6,327.00