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Michigan rates for HCPCS 25263

Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $645.65 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $977.24 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,479.11 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $776.25 / $1,862.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,023.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $741.31 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,606.93 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,047.13