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Michigan rates for HCPCS 25425

Repair of defect with autograft; radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.50 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.18 / $1,232.06 / $1,284.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,748.55 / $7,920.81 / $10,731.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.93 / $1,391.34 / $2,443.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.96 / $1,193.59 / $2,048.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.99 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.62 / $1,102.42 / $1,603.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $653.49 / $1,117.48
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
$980.90 / $1,247.38 / $1,646.54