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Michigan rates for HCPCS 23174

Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck

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
$676.08 / $776.25 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,258.93 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $912.01 / $1,621.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $1,202.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $891.25 / $1,380.38
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
$707.95 / $891.25 / $1,174.90