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Michigan rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.80 / $179.88 / $250.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.47 / $222.35 / $386.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.95 / $190.69 / $321.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $192.73 / $270.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.69 / $135.73 / $233.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.97 / $202.51 / $289.02