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Michigan rates for HCPCS 15958

Exc Trchntric Pr Ulc Musc/Myoq Flap/Skin W/Ostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.40 / $1,390.40 / $6,906.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,745.07 / $3,202.03 / $4,505.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.86 / $1,390.40 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,780.00 / $10,556.00