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Indiana rates for HCPCS 25109

Excision of tendon, forearm and/or wrist, flexor or extensor, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.68 / $1,391.00 / $14,063.00
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
$504.38 / $692.29 / $1,038.44
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