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Michigan rates for HCPCS 25170

Radical Resection Tumor Radius Or Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.79 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.30 / $1,859.46 / $1,952.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,279.79 / $7,370.62 / $9,986.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.64 / $2,215.52 / $3,655.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.77 / $1,528.31 / $3,105.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.67 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.15 / $1,648.53 / $2,353.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $992.42 / $1,697.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $6,978.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.99 / $1,690.77 / $2,238.17