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Michigan rates for HCPCS 28420

Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.65 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.76 / $1,658.65 / $1,722.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,442.30 / $15,777.31 / $21,375.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.72 / $1,288.25 / $3,327.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.01 / $1,483.02 / $2,759.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.01 / $4,933.00 / $6,907.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.01 / $1,412.36 / $2,083.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $880.14 / $1,501.70
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
$1,279.31 / $1,507.85 / $2,091.19