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Michigan rates for HCPCS 25272

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.86 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.19 / $719.86 / $747.55
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
$162.81 / $598.55 / $1,381.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.11 / $688.26 / $1,197.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.75 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.16 / $639.91 / $933.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $397.60 / $655.70
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
$557.75 / $705.43 / $974.28