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Michigan rates for HCPCS 26502

Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,698.24 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,230.27 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,737.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,089.30 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,174.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,380.38
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
$676.08 / $831.76 / $1,096.48