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Michigan rates for HCPCS A2007

Restrata, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.60 / $193.60 / $193.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $193.60 / $205.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.60 / $193.60 / $193.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $193.60 / $205.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $240.46