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Michigan rates for HCPCS Q4252

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.59 / $54.59 / $54.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $54.59 / $54.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $9.18 / $53.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.18 / $51.29 / $67.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $113.30
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $53.00 / $54.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $71.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $79.50 / $148.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $57.12