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Michigan rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $83.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $190.55 / $512.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $138.04 / $245.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $125.89 / $151.36