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Michigan rates for HCPCS Q4254

Novafix dl per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.88 / $355.88 / $377.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $492.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.88 / $355.88 / $400.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.88 / $355.88 / $462.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $480.00 / $517.34