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Alaska rates for HCPCS 25263

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $9,549.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,041.74 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,348.96 / $4,265.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,187.76 / $3,311.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,630.27 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,230.27 / $3,388.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $851.14 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,570.40 / $3,630.78