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Michigan rates for HCPCS 27105

Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.27 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.31 / $1,115.22 / $1,159.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,624.89 / $4,254.56 / $5,764.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.44 / $1,326.12 / $2,212.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.49 / $1,025.07 / $1,850.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.16 / $1,116.27 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.84 / $978.07 / $1,443.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $597.76 / $1,004.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.78 / $1,047.69 / $1,423.57