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Michigan rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $1.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $32.79 / $62.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $15.00 / $15.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.78 / $1.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.78 / $0.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.71