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Michigan rates for HCPCS 12016

Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.88 / $257.62 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.12 / $194.79 / $263.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.88 / $257.62 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,418.00 / $2,449.00