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Michigan rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.58 / $1,054.46 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.54 / $824.58 / $1,265.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.42 / $2,159.06 / $2,925.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.84 / $668.53 / $1,401.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.79 / $833.12 / $2,989.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.80 / $1,823.48 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.99 / $884.04 / $1,265.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.24 / $609.34 / $968.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $3,640.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $977.78 / $1,296.96