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Michigan rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.01 / $66.01 / $66.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.08 / $66.01 / $85.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $102.00 / $102.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $96.87