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Michigan rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.41 / $2,845.70 / $4,237.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.50 / $127.52 / $186.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,681.47 / $3,125.35 / $4,234.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $125.50 / $169.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.16 / $96.43 / $107.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.60 / $151.47 / $155.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.55 / $132.27 / $343.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.33 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.40 / $145.06 / $203.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.22 / $168.68 / $236.61
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
$139.34 / $168.98 / $229.95