go back

Michigan rates for HCPCS Q4136

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.23 / $0.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $95.00 / $135.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $89.18 / $91.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $89.18 / $109.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00