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Michigan rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.40 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.84 / $913.40 / $948.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.20 / $3,643.42 / $4,936.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.78 / $1,139.88 / $1,811.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.21 / $802.50 / $1,520.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.55 / $913.40 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.55 / $743.54 / $1,130.59
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
$665.01 / $797.54 / $1,086.58