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Tennessee 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
$1,054.69 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.07 / $1,222.28 / $1,948.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.81 / $1,453.81 / $1,453.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,271.00 / $3,514.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.19 / $1,587.31 / $2,445.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.74 / $1,621.13 / $2,504.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,592.60 / $6,147.74 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,857.12 / $9,036.40 / $10,557.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.84 / $1,390.80 / $2,569.96