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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
$813.77 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.86 / $813.77 / $845.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,157.49 / $3,705.97 / $5,021.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.76 / $1,084.54 / $1,681.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.60 / $776.87 / $1,354.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.10 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.26 / $719.51 / $1,047.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $443.53 / $752.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.94 / $784.30 / $1,035.50