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Michigan rates for HCPCS 20955

Bone graft with microvascular anastomosis; fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,147.01 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.13 / $3,102.23 / $3,268.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,752.99 / $13,794.55 / $18,689.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.06 / $3,468.16 / $6,091.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.51 / $3,003.20 / $5,262.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,624.00 / $3,147.01 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,423.57 / $2,756.52 / $4,063.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.32 / $1,620.79 / $2,763.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.60 / $3,058.93 / $4,151.38