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Michigan rates for HCPCS Q4170

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

Facilitymedian $102 · 10th–90th $40–$1,2880%20%40%10th90th$102Professionalmedian $39 · 10th–90th $39–$1380%50%90th$39$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $138.04 / $138.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $1,202.26 / $3,235.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $123.03 / $1,513.56
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $138.04 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $446.68