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Michigan rates for HCPCS 25025

Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.18 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.45 / $1,507.39 / $1,632.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,322.81 / $3,900.01 / $5,283.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.10 / $1,952.43 / $3,207.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.79 / $1,336.38 / $2,520.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.83 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.90 / $1,384.71 / $2,039.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $838.49 / $1,426.13
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
$1,187.78 / $1,443.00 / $2,018.05