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Michigan rates for HCPCS 25420

Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.83 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.10 / $1,485.16 / $1,551.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,369.69 / $8,649.85 / $11,719.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.44 / $1,678.97 / $2,863.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.56 / $1,448.71 / $2,473.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.72 / $1,493.83 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.09 / $1,332.69 / $1,937.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.64 / $789.54 / $1,330.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,192.00 / $16,579.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.96 / $1,467.33 / $1,914.94