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Michigan rates for HCPCS 25491

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

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
$660.69 / $758.58 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $912.01 / $1,584.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,202.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $870.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $9,772.37 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,230.27