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Ohio rates for HCPCS 25020

Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $5,754.40 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,019.95 / $7,943.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,754.40 / $8,511.38