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Michigan rates for HCPCS 25295

Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.20 / $4,933.00 / $7,390.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,914.01 / $3,420.19 / $4,633.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.15 / $4,112.00 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00