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Michigan rates for HCPCS 24900

Amputation, arm through humerus; with primary closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,737.80 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $891.25 / $2,187.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,187.76 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $1,148.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $851.14 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,232.93 / $28,840.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,148.15