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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
$1,194.50 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.39 / $1,187.89 / $1,240.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,748.48 / $4,399.60 / $5,960.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.51 / $1,471.36 / $2,440.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.17 / $1,002.65 / $1,976.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.41 / $1,194.50 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.41 / $946.37 / $1,449.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $633.33 / $1,068.32
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
$843.64 / $1,006.00 / $1,326.02