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Michigan rates for HCPCS 11921

Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $190.55 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $38.90 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $186.21 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $645.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $602.56 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $229.09 / $363.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $181.97 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,202.26 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $199.53 / $269.15