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Michigan rates for HCPCS Q4201

Matrion 1 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.37 / $78.37 / $78.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $78.37 / $78.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $111.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.09 / $78.37 / $208.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $95.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $102.72 / $129.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $80.73