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Michigan rates for HCPCS 25316

Flexor Origin Slide F/Arm&/Wrst Tendon Transfe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.01 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.88 / $1,172.39 / $1,221.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,199.62 / $7,276.53 / $9,858.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $1,325.10 / $2,301.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.78 / $1,125.64 / $1,947.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.20 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.20 / $1,007.10 / $1,483.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $641.44 / $1,061.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.32 / $1,146.56 / $1,497.06