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Minnesota 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
$630.96 / $630.96 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $645.65 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $32,359.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,905.46 / $2,818.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,238.72 / $4,365.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,202.26 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,202.26 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,011.87 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,122.02 / $2,290.87