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Indiana rates for HCPCS 25001

Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.62 / $1,386.00 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.35 / $7,572.00 / $18,942.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.09 / $454.44 / $681.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00