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Michigan rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.94 / $2,877.00 / $10,885.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.90 / $815.94 / $847.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,313.97 / $6,237.04 / $8,450.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.69 / $699.38 / $1,532.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.34 / $748.29 / $1,355.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.27 / $2,877.00 / $10,885.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.55 / $729.79 / $1,137.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $427.57 / $738.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.78 / $766.26 / $1,045.56