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Michigan rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.44 / $82.44 / $82.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $82.44 / $82.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $247.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $82.44 / $291.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $108.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $120.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $84.92