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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
$332.41 / $464.00 / $4,933.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$249.31 / $258.89 / $285.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.28 / $296.54 / $401.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.64 / $250.64 / $250.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.08 / $217.14 / $305.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.87 / $425.71 / $644.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.30 / $296.22 / $555.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.25 / $438.05 / $4,933.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$249.31 / $249.31 / $274.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.27 / $332.41 / $474.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $194.07 / $360.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.33 / $319.14 / $441.96