go back

Michigan rates for HCPCS 25000

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.29 / $2,886.62 / $5,756.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $395.11 / $790.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.77 / $333.77 / $500.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,308.30 / $2,709.27 / $3,670.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $362.70 / $886.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.29 / $402.14 / $741.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.99 / $3,081.23 / $5,619.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.90 / $413.62 / $659.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $236.91 / $436.47
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
$334.75 / $401.48 / $559.29