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Michigan rates for HCPCS 21025

Excision of bone (eg, for osteomyelitis or bone abscess); mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.02 / $2,877.00 / $12,195.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.64 / $836.94 / $1,046.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.39 / $5,597.88 / $7,584.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.85 / $1,009.90 / $2,045.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.91 / $913.54 / $1,454.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.73 / $2,877.00 / $12,195.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.31 / $890.73 / $1,249.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $550.28 / $908.57
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
$864.51 / $1,051.51 / $1,447.86