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Michigan rates for HCPCS 24920

Amputation, arm through humerus; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,698.24 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,995.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,096.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $870.96 / $1,348.96
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 / $851.14 / $1,122.02