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Missouri 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
$1,098.00 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.40 / $645.78 / $1,303.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.29 / $804.00 / $1,221.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.05 / $876.18 / $1,369.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.08 / $1,025.03 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.09 / $935.84 / $5,321.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.82 / $848.76 / $1,354.74