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Michigan rates for HCPCS C1734

Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,944.86 / $7,988.43 / $7,988.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,835.50 / $5,160.84 / $15,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.91 / $3,467.91 / $3,467.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,575.05 / $7,988.43 / $7,988.43
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,785.51 / $7,500.00 / $16,190.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00