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Arizona 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
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.46 / $615.96 / $1,582.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.23 / $768.26 / $960.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.89 / $799.94 / $1,250.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.59 / $910.20 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.89 / $730.62 / $5,321.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.10 / $677.16 / $1,293.25