go back

Michigan rates for HCPCS 24802

Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.40 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.26 / $1,279.90 / $1,334.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,984.94 / $11,719.38 / $15,877.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.05 / $1,447.64 / $2,445.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.79 / $1,162.34 / $2,128.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.50 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.99 / $1,134.65 / $1,667.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $685.82 / $1,139.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.04 / $1,204.03 / $1,621.50