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Michigan rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $81.28 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $102.33 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $117.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $104.71 / $144.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $89.13 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $134.90