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Michigan rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.24 / $52.24 / $52.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $52.24 / $52.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $97.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $52.24 / $115.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $60.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $68.11 / $81.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $53.81