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Michigan rates for HCPCS Q4169

Artacent Wound Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,130.53 / $2,130.53 / $2,130.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,130.53 / $2,130.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $2,068.46 / $2,068.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.60 / $2,068.46 / $2,130.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,482.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $264.08 / $3,330.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,194.65