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Cellesta or Cellesta Duo

Michigan rates for HCPCS Q4184

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

Rates data updated October 2026.

How much does Cellesta or Cellesta Duo cost?

$93.33

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $135 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$93.33$83.18 to $120
FacilityA hospital or hospital-owned outpatient department$135$120 to $234

How much rates vary

Facilitymedian $135 · 10th to 90th $83 to $288Professionalmedian $93 · 10th to 90th $81 to $126
$100$200$500facility $135professional $93

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.30
Median
$12.30
Typical High
$12.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$245.47
Typical High
$245.47
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$208.93
Typical High
$288.40
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$83.18
Typical High
$112.20
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Priority Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan sits

The same service costs 7.2 times more in Hawaii than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 44th of 51

$93.33

HI $575KY $79.43

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.