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Helicoll

Michigan rates for HCPCS Q4164

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

Rates data updated July 2026.

Facilitymedian $1,698 · 10th–90th $102$1,7780%50%10th90th$1,698Professionalmedian $1,660 · 10th–90th $126$1,7380%50%10th90th$1,660$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,737.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$346.74
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,778.28
Typical High
$4,786.30
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$1,659.59
Typical High
$2,137.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90