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Michigan rates for HCPCS 25426

Repair Defect W/Autograft Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.82 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.34 / $1,429.27 / $1,495.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,999.86 / $4,694.67 / $6,360.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.19 / $1,616.04 / $2,838.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.80 / $1,351.63 / $2,380.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.65 / $1,439.82 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.58 / $1,274.51 / $1,867.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.57 / $754.67 / $1,265.78
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
$1,135.39 / $1,359.72 / $1,829.47