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Washington 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
$812.83 / $6,606.93 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $933.25 / $3,715.35
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,318.26 / $4,265.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $1,288.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $891.25 / $977.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $9,120.11 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $11,220.18 / $18,620.87