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Michigan rates for HCPCS 26489

Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $2,089.30 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,090.30
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,623.41 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,412.54