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Michigan rates for HCPCS 24370

Revis Elbow Arthrplsty Humeral/Ulna Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,970.41 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.36 / $1,944.87 / $2,046.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,443.04 / $21,646.71 / $29,327.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.91 / $2,204.57 / $3,654.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.46 / $1,912.12 / $3,257.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.61 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.26 / $1,752.30 / $2,457.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.47 / $1,055.14 / $1,810.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $11,464.00 / $23,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.37 / $1,988.70 / $2,564.71