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Michigan rates for HCPCS 15277

Sub Grft F/S/N/H/F/G/M/D >= 100scm 1st 100sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.66 / $402.36 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.53 / $278.94 / $402.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,620.17 / $6,550.51 / $8,874.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.46 / $207.60 / $355.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.89 / $308.58 / $894.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.44 / $409.60 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.66 / $303.41 / $422.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.92 / $338.99 / $472.94
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
$317.99 / $381.38 / $526.29