go back

Michigan rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,202.26 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,230.27 / $1,230.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $446.68 / $1,122.02
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $1,230.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,230.27 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,258.93