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Michigan rates for HCPCS 14041

Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.32 / $1,122.79 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.23 / $886.32 / $1,394.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.39 / $773.39 / $930.30
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
$195.22 / $681.83 / $1,228.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.04 / $945.04 / $3,221.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.27 / $1,347.35 / $5,828.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.10 / $959.14 / $1,394.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.24 / $649.36 / $1,044.95
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
$856.51 / $1,068.04 / $1,399.51