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Michigan rates for HCPCS Q4227

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.73 / $1,207.73 / $1,207.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,207.73 / $1,207.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.90 / $1,172.56 / $1,174.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.32 / $1,172.56 / $1,207.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,407.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.39 / $1,609.87 / $1,788.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,251.69