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Michigan rates for HCPCS 25574

Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.24 / $4,112.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,190.52 / $8,439.54 / $11,434.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.58 / $4,112.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00