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Michigan rates for HCPCS 25391

Osteoplasty, radius OR ulna; lengthening with autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.02 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.87 / $1,121.59 / $1,327.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,700.98 / $16,080.92 / $21,787.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.64 / $1,277.32 / $2,497.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.24 / $1,237.41 / $2,115.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.64 / $1,278.02 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.63 / $1,140.15 / $1,657.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $674.10 / $1,131.14
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
$1,015.91 / $1,249.82 / $1,639.23