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Michigan rates for HCPCS 23921

Disarticulation of shoulder; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $478.63 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,096.48 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $1,000.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $524.81 / $691.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,162.28 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $691.83