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Rhode Island 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
$2,089.30 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $645.65 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,128.61 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $891.25 / $1,412.54