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Michigan rates for HCPCS 23802

Arthrodesis Glenohumeral Jt W/Autogenous Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.36 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.56 / $1,633.03 / $1,705.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,900.90 / $6,925.92 / $9,383.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.66 / $1,945.61 / $3,246.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.99 / $1,408.24 / $2,716.85
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.81 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.35 / $1,448.49 / $2,130.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $901.95 / $1,485.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.67 / $1,534.40 / $2,001.77