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Michigan rates for HCPCS 26390

Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.19 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.99 / $1,121.19 / $1,164.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,313.97 / $6,237.04 / $8,450.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.52 / $1,414.59 / $2,281.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.48 / $974.57 / $1,895.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.83 / $1,121.19 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.83 / $966.95 / $1,370.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.96 / $594.71 / $992.87
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
$840.83 / $998.32 / $1,341.78