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Michigan rates for HCPCS Q4182

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.76 / $37.76 / $37.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.76 / $37.76 / $40.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $40.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.76 / $42.48 / $47.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.76 / $37.76 / $40.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.33 / $39.33 / $42.99