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Michigan rates for HCPCS 15150

Cltr Skin Autograft T/A/L 1st 25 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.50 / $834.44 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.40 / $758.50 / $834.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,733.56 / $3,186.06 / $4,316.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.98 / $645.07 / $1,132.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.47 / $699.70 / $2,573.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.80 / $1,759.39 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.18 / $758.50 / $961.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.01 / $512.63 / $775.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,523.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.36 / $781.43 / $1,068.28