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Michigan rates for HCPCS 25630

Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $338.84 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $512.86 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $562.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $616.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $331.13 / $524.81
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
$269.15 / $331.13 / $446.68