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Michigan rates for HCPCS 15221

Fth/Gft Fr W/Dir Clsr S/A/L Ea Addl 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.22 / $189.16 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.97 / $105.61 / $150.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.24 / $743.89 / $1,007.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $80.15 / $128.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.43 / $109.06 / $277.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $1,346.50 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.22 / $139.33 / $189.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $101.32 / $141.24
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
$125.38 / $155.63 / $208.86