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Michigan rates for HCPCS 25607

Optx Dstl Radl X-Artic Fx/Epiphysl Sep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.17 / $5,483.00 / $17,095.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,674.98 / $7,834.46 / $10,614.45
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,218.80 / $5,458.65 / $7,196.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.70 / $5,479.74 / $14,223.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00