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Michigan rates for HCPCS 28102

Exc/Curtg Cst/B9 Tum Talus/Clcns W/Iliac/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.53 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.36 / $783.53 / $937.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,313.97 / $6,237.04 / $8,450.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.49 / $1,013.26 / $1,618.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.65 / $712.13 / $1,302.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.80 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.80 / $635.58 / $1,016.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $397.61 / $696.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,561.00 / $9,143.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.33 / $686.93 / $946.61