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Michigan rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.54 / $942.54 / $942.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $942.54 / $942.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.52 / $915.09 / $915.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.09 / $915.09 / $942.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $1,098.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.94 / $750.55 / $1,174.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $986.28