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Michigan rates for HCPCS 25490

Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $741.31 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $1,096.48 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $870.96 / $1,548.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,148.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $776.25 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,174.90