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Michigan rates for HCPCS 25500

Closed treatment of radial shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $302.00 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $616.60 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $478.63 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $524.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $346.74 / $549.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $295.12 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $794.33 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $295.12 / $398.11