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Missouri rates for HCPCS 25025

Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.91 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.22 / $1,240.77 / $1,932.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.00 / $1,415.24 / $2,193.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.70 / $1,626.94 / $2,646.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.95 / $1,851.10 / $5,739.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.45 / $1,692.51 / $9,036.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.35 / $1,505.81 / $2,482.66