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Michigan rates for HCPCS 12037

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.70 / $563.88 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,733.56 / $3,186.06 / $4,316.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.46 / $2,877.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $3,640.00 / $6,740.00