go back

Pennsylvania rates for HCPCS 25260

Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.99 / $3,612.00 / $9,534.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,463.00 / $11,091.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.20 / $730.20 / $730.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,170.38 / $8,540.54 / $10,942.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.99 / $4,264.00 / $9,211.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.20 / $730.20 / $730.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.16 / $625.16 / $908.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.00 / $3,198.00 / $6,000.00