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Michigan rates for HCPCS 28210

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.10 / $4,112.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,313.97 / $6,237.04 / $8,450.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.96 / $4,112.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00