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Michigan rates for HCPCS 15920

Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $954.99 / $954.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $4,073.80 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,235.94 / $7,585.78