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Michigan rates for HCPCS 13121

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.72 / $712.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.31 / $374.68 / $653.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.58 / $417.58 / $583.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.92 / $984.78 / $1,334.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $325.63 / $521.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.82 / $266.00 / $359.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.77 / $427.60 / $636.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.57 / $430.37 / $1,077.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.72 / $499.70 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.66 / $443.63 / $647.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $343.10 / $493.15
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
$397.57 / $486.30 / $625.01