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Michigan rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.24 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.85 / $1,324.24 / $1,375.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,313.97 / $6,237.04 / $8,450.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.52 / $1,324.39 / $2,618.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.29 / $1,188.84 / $2,201.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.41 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.83 / $1,180.38 / $1,717.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $694.89 / $1,192.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.01 / $1,249.38 / $1,698.11