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Tennessee 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
$781.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.22 / $643.41 / $1,053.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $5,486.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.57 / $836.77 / $1,333.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.03 / $898.22 / $1,384.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.28 / $16,394.00 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,321.36 / $5,496.96 / $5,536.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.13 / $766.67 / $1,339.07