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Michigan rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,897.79 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $6,025.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,897.79 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $7,413.10 / $14,454.40