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Michigan rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.32 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.24 / $1,755.91 / $1,842.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,511.01 / $7,642.01 / $10,353.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.73 / $2,197.15 / $3,609.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.01 / $1,616.23 / $2,929.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.52 / $1,774.32 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.99 / $1,563.67 / $2,291.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $933.81 / $1,578.53
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
$1,374.49 / $1,653.78 / $2,294.82