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Michigan rates for HCPCS 28576

Prq Skel Fixj Talotarsal Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.00 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.19 / $495.00 / $514.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.58 / $2,413.82 / $3,270.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.23 / $629.25 / $1,009.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.20 / $473.16 / $823.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.13 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.13 / $433.54 / $612.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $292.06 / $487.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.28 / $457.84 / $642.55