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Michigan rates for HCPCS 24164

Removal of prosthesis, includes debridement and synovectomy when performed; radial head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,659.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $4,073.80 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,623.41 / $9,120.11