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Michigan rates for HCPCS 15240

Fth/Gf Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.06 / $1,355.83 / $5,756.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.21 / $923.06 / $1,355.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,867.31 / $4,507.49 / $6,106.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.93 / $1,012.19 / $1,495.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.33 / $884.44 / $3,368.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.77 / $3,641.27 / $5,756.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.06 / $944.77 / $1,418.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.24 / $640.46 / $1,008.60
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
$861.71 / $1,040.78 / $1,331.62