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Michigan rates for HCPCS 20962

Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,402.90 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,268.16 / $3,008.21 / $4,179.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,090.27 / $11,843.01 / $16,045.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.11 / $4,024.18 / $6,941.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.61 / $2,993.40 / $5,621.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.81 / $3,402.90 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.81 / $2,788.78 / $4,266.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.32 / $1,809.04 / $3,062.72
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
$2,497.76 / $3,096.90 / $3,807.16