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Michigan rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.20 / $475.20 / $475.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $475.20 / $475.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $567.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $475.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $604.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.31 / $551.70 / $752.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $553.63