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Oklahoma 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
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.15 / $665.39 / $676.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.20 / $815.08 / $975.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,659.86 / $5,659.86 / $5,659.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.35 / $845.43 / $1,034.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.39 / $1,010.63 / $6,889.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.00 / $741.97 / $5,321.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,424.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.17 / $689.29 / $1,015.74