go back

Michigan rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.55 / $637.26 / $5,464.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.56 / $441.93 / $773.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.17 / $167.17 / $334.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,604.12 / $6,577.59 / $8,911.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.42 / $497.98 / $859.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.27 / $482.71 / $863.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.55 / $722.46 / $5,124.24
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.71 / $473.03 / $809.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $327.18 / $583.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.06 / $568.09 / $797.43