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Michigan rates for HCPCS 27881

Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.01 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,082.00 / $4,791.07 / $6,491.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.34 / $1,095.01 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $9,143.00 / $12,767.00