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Michigan rates for HCPCS 25355

Osteotomy, radius; middle or proximal third

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.01 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.95 / $982.01 / $1,019.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,624.89 / $4,254.56 / $5,764.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.77 / $1,169.25 / $1,894.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.82 / $943.26 / $1,629.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.59 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.43 / $878.20 / $1,273.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $509.65 / $899.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.86 / $971.13 / $1,248.59