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Michigan rates for HCPCS 24931

Amputation, arm through humerus; with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $1,995.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,238.72 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,288.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,584.89
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
$831.76 / $977.24 / $1,318.26