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Michigan rates for HCPCS 25115

Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.71 / $5,100.14 / $6,907.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,914.06 / $3,420.25 / $4,633.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.56 / $4,933.00 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00