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Enverse

Michigan rates for HCPCS Q4258

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

Rates data updated October 2026.

How much does Enverse cost?

$105

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $135 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$105$93.33 to $120
FacilityA hospital or hospital-owned outpatient department$135$120 to $240

How much rates vary

Facilitymedian $135 · 10th to 90th $93 to $263Professionalmedian $105 · 10th to 90th $89 to $126
$100$200facility $135professional $105

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$45.71
Typical High
$46.77
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.80
Median
$13.80
Typical High
$14.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$134.90
Typical High
$263.03
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$93.33
Typical High
$120.23
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Priority Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan sits

The same service costs 17.4 times more in Wyoming than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 38th of 51

$105

WY $1,413MT $81.28

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.