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Massachusetts 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
$1,513.56 / $2,884.03 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $1,737.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $5,623.41 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,778.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,348.96 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,174.90
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,174.90 / $1,862.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,623.41 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,047.13 / $1,905.46