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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
$979.54 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.01 / $979.54 / $1,017.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,157.49 / $3,705.97 / $5,021.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.02 / $1,112.21 / $1,931.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.38 / $897.26 / $1,626.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.86 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.60 / $852.72 / $1,263.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $532.50 / $887.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.29 / $914.63 / $1,242.71