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Michigan rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.38 / $193.92 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.37 / $158.62 / $256.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.24 / $139.41 / $164.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.93 / $247.01 / $334.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $81.36 / $157.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.39 / $101.63 / $137.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.83 / $167.90 / $250.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.51 / $151.62 / $418.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.52 / $193.92 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.37 / $172.07 / $255.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.90 / $134.77 / $188.01
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
$145.51 / $179.85 / $239.96