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Michigan rates for HCPCS 24160

Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.05 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.57 / $1,598.28 / $1,669.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.90 / $3,347.30 / $4,535.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.34 / $1,977.86 / $3,173.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.96 / $1,297.32 / $2,669.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.03 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.03 / $1,196.14 / $1,756.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $871.41 / $1,468.00
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
$689.71 / $1,330.78 / $2,089.17