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Michigan rates for HCPCS 25920

Disarticulation through wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.09 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.68 / $935.09 / $971.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.01 / $3,813.39 / $5,166.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.68 / $1,112.49 / $1,919.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.61 / $816.73 / $1,556.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.19 / $935.09 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.19 / $796.77 / $1,157.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $491.28 / $827.57
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
$703.07 / $828.17 / $1,085.06