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Michigan rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.54 / $327.54 / $327.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $327.54 / $327.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.32 / $318.00 / $353.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $318.00 / $327.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $429.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $349.80 / $477.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $342.74