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Michigan rates for HCPCS 25905

Amp Forearm Thru Radius & Ulna Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.64 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.45 / $901.64 / $936.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,279.91 / $3,849.65 / $5,215.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.44 / $771.32 / $1,738.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.04 / $867.16 / $1,495.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.65 / $901.64 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.06 / $802.61 / $1,168.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $499.91 / $839.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.87 / $862.25 / $1,151.42