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Michigan rates for HCPCS 25393

Osteoplasty, radius AND ulna; lengthening with autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.02 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.12 / $1,437.35 / $1,503.72
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
$290.88 / $1,625.51 / $2,854.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.35 / $1,396.57 / $2,394.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.88 / $1,448.02 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.29 / $1,290.61 / $1,878.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.57 / $754.67 / $1,285.35
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
$1,135.09 / $1,414.00 / $1,844.47