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Michigan rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $2,041.74 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $776.25 / $776.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $2,041.74 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,238.72 / $4,466.84