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Indiana 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
$593.19 / $1,941.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.15 / $593.19 / $813.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,570.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.04 / $889.70 / $1,227.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.04 / $755.37 / $871.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.04 / $642.05 / $871.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.03 / $882.60 / $1,470.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,348.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.17 / $714.18 / $1,288.50