go back

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
$4,897.79 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $1,230.27 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $954.99 / $2,290.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,897.79 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,258.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $933.25 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,606.93 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,230.27