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Michigan rates for HCPCS Q4175

MiroDerm Bio Matrix Fenestrat EX SHEE 2X2CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.29 / $94.29 / $94.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $94.29 / $94.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.75 / $46.75 / $46.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.41 / $48.62 / $60.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $91.54 / $91.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $94.29 / $155.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $109.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $100.69 / $137.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $98.66