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Michigan rates for HCPCS 12031

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $354.81 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $263.03 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $223.87 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $177.83 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $169.82 / $331.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $245.47 / $724.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $380.19 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $257.04 / $457.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $234.42 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,000.00 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $309.03