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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
$3,474.24 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,955.31 / $15,205.73 / $20,601.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,888.30 / $3,474.24 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.74 / $7,800.00 / $10,351.00