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Michigan rates for HCPCS Q4232

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $223.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,778.28 / $4,786.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $2,187.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $1,659.59