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Michigan rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.66 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.12 / $669.66 / $695.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,157.49 / $3,705.97 / $5,021.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.99 / $859.62 / $1,386.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.99 / $639.69 / $1,114.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.50 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.61 / $594.54 / $868.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $382.23 / $619.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.17 / $6,978.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.60 / $655.19 / $887.98