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Michigan rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $45.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $45.70 / $48.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.93 / $379.86 / $757.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $104.00 / $135.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $166.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $147.22 / $147.22
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $147.22 / $193.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $220.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $60.61