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Vermont rates for HCPCS 25263

Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.25 / $790.73 / $790.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.78 / $1,079.45 / $1,414.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.59 / $995.85 / $1,414.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.29 / $914.80 / $2,582.96