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Michigan rates for HCPCS 26500

Rcnstj Tendon Pulley Each W/Local Tissues Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.93 / $3,228.97 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.04 / $673.00 / $1,131.86
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
$167.68 / $986.38 / $1,791.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.70 / $734.50 / $1,439.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.94 / $3,228.97 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.94 / $723.28 / $1,093.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $466.41 / $778.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.17 / $746.19 / $992.18