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Michigan rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.84 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.54 / $1,016.84 / $1,055.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.90 / $3,347.30 / $4,535.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.50 / $1,262.76 / $2,074.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.32 / $866.14 / $1,725.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.28 / $1,016.84 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.28 / $813.48 / $1,226.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $533.09 / $900.72
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
$726.11 / $868.88 / $1,175.13