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Michigan rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.66 / $129.66 / $129.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $129.66 / $137.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $17.00 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $100.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $224.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.66 / $162.08 / $162.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $162.08 / $194.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $194.50