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Michigan rates for HCPCS 25365

Osteotomy; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.25 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.79 / $1,173.28 / $1,222.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,984.94 / $11,719.38 / $15,877.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.78 / $1,326.05 / $2,261.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.29 / $1,133.11 / $1,948.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.74 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.83 / $1,050.08 / $1,524.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $641.44 / $1,061.95
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
$931.47 / $1,154.72 / $1,539.06