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Michigan rates for HCPCS 20957

Bone graft with microvascular anastomosis; metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,515.82 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.96 / $3,465.08 / $3,651.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,656.43 / $12,507.51 / $16,945.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.46 / $2,761.11 / $7,122.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.24 / $2,938.23 / $5,798.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,805.10 / $3,515.82 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,735.27 / $2,965.08 / $4,306.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.32 / $1,847.51 / $3,163.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,586.11 / $3,159.89 / $4,052.29