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Michigan rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.08 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.88 / $1,024.08 / $1,063.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,313.97 / $6,237.04 / $8,450.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.60 / $1,304.38 / $2,033.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.79 / $935.85 / $1,697.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.18 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.88 / $894.49 / $1,322.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $563.89 / $930.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $15,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.18 / $953.27 / $1,290.95