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Michigan rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,479.11 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $977.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,698.24 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,623.41 / $14,454.40