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Iowa 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
$1,000.00 / $3,235.94 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $660.69 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $1,862.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,698.24 / $17,378.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,258.93 / $5,370.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,584.89 / $1,737.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,737.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,096.48 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,549.93 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $954.99 / $1,737.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $1,479.11