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Michigan rates for HCPCS 11042

Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.94 / $473.87 / $1,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $82.23 / $176.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $61.68 / $108.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.45 / $571.98 / $1,319.03
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$238.31 / $329.00 / $446.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.22 / $59.47 / $122.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.05 / $68.45 / $157.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.94 / $129.86 / $193.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.36 / $89.89 / $251.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.23 / $429.64 / $1,294.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.23 / $107.34 / $191.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.90 / $134.77 / $188.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,418.00 / $2,449.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.36 / $128.22 / $172.75