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Michigan rates for HCPCS 25290

Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.37 / $4,112.00 / $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
$466.82 / $4,112.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00