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Michigan rates for HCPCS 26373

Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.81 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.70 / $1,120.81 / $1,163.92
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
$250.47 / $1,258.40 / $2,145.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.96 / $1,002.15 / $1,924.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.63 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.63 / $951.58 / $1,383.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.82 / $592.39 / $988.67
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
$827.32 / $998.38 / $1,327.47