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Michigan rates for HCPCS 28446

Open osteochondral autograft, talus (includes obtaining graft[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.25 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.75 / $1,256.36 / $1,628.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,814.06 / $6,824.00 / $9,245.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.16 / $1,763.65 / $3,007.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.10 / $1,343.37 / $2,594.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.81 / $1,568.25 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.19 / $1,384.69 / $1,965.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $827.86 / $1,425.44
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
$1,231.44 / $1,466.14 / $1,989.47