go back

California 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
$1,919.00 / $6,159.00 / $17,030.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.14 / $645.78 / $3,315.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,944.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.25 / $953.23 / $1,831.62
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,521.05
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.75 / $831.07 / $1,819.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $6,894.76 / $12,348.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.61 / $911.11 / $1,800.89
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.01 / $760.96 / $1,027.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.96 / $844.51 / $1,517.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.28 / $16,394.00 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,321.36 / $5,496.96 / $5,536.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.19 / $868.63 / $1,240.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.60 / $949.08 / $1,710.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.94 / $2,056.94 / $2,056.94
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.51 / $691.09 / $844.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,523.00 / $9,713.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.84 / $691.22 / $1,473.20