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Michigan rates for HCPCS Q4130

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $48.98 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $48.98 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $154.88 / $186.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $125.89 / $346.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $100.00 / $158.49
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89