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New York 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
$840.41 / $3,841.00 / $9,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.71 / $695.43 / $1,440.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.09 / $644.57 / $1,545.43
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.45 / $1,716.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.45 / $897.45 / $897.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.34 / $728.34 / $728.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.71 / $1,024.01 / $2,393.27
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $800.00 / $1,715.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.96 / $996.58 / $1,471.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.79 / $602.79 / $602.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.33 / $768.13 / $1,354.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $728.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.47 / $998.92 / $2,246.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.62 / $841.17 / $1,941.32
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.13 / $768.13 / $3,877.62
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.79 / $840.06 / $1,623.70