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Michigan rates for HCPCS 23172

Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $1,230.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $891.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,623.41 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $870.96