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Michigan rates for HCPCS Q4199

Cygnus matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.49 / $114.49 / $114.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $114.49 / $114.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $423.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $111.15 / $114.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $150.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $143.28 / $365.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $119.80