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Michigan rates for HCPCS Q4100

Skin Substitute, Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.90 / $727.27 / $4,801.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $2,673.50 / $2,673.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.64 / $44.61 / $88.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.90 / $727.27 / $4,801.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $35.70 / $2,673.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00