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Michigan rates for HCPCS 25136

Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $512.86 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $1,148.15 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $588.84 / $1,318.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $776.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $575.44 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,606.93 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $758.58