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Michigan rates for HCPCS 24620

Closed Tx Monteggia Fx Dislocation Elbow W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.21 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.37 / $594.32 / $784.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,256.14 / $2,648.04 / $3,587.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.58 / $863.85 / $1,473.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.57 / $623.71 / $1,201.53
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.82 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.82 / $621.15 / $875.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $428.75 / $699.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.70 / $660.31 / $894.53