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Michigan rates for HCPCS Q4148

Neox Cord 1k Neox Cord Rt Or Clarix Cord 1k Persquare Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.52 / $127.52 / $127.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $127.52 / $129.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.96 / $107.96 / $107.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.56 / $112.28 / $145.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $223.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $127.52 / $270.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $154.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $141.27 / $192.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $133.43