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Michigan rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.94 / $34.94 / $34.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $34.94 / $34.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.56 / $34.56 / $34.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.83 / $35.94 / $46.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $43.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $34.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $44.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $37.31 / $50.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $35.99