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Michigan rates for HCPCS 25105

Arthrotomy, wrist joint; with synovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.17 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.90 / $3,347.30 / $4,535.05
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.76 / $661.96 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00