go back

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
$741.31 / $4,897.79 / $8,128.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $4,073.80 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $8,709.64