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Michigan rates for HCPCS 25450

Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.86 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.24 / $635.28 / $990.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.33 / $3,825.49 / $5,182.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $593.53 / $1,609.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.49 / $718.89 / $1,319.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.91 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.62 / $689.61 / $1,029.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $413.70 / $709.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,986.00 / $7,800.00 / $10,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.62 / $734.14 / $917.86