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Michigan rates for HCPCS 27455

Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.77 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.84 / $1,227.54 / $1,279.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,404.14 / $5,169.17 / $7,003.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.88 / $1,385.19 / $2,432.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.09 / $1,114.03 / $2,037.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.49 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.36 / $1,067.53 / $1,571.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $653.49 / $1,098.18
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
$992.27 / $1,165.06 / $1,548.48