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Michigan rates for HCPCS 25907

Amputation, forearm, through radius and ulna; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $933.25 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $724.44 / $1,318.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $933.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $724.44 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $1,000.00