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Wyoming 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
$646.36 / $649.65 / $820.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,116.00 / $6,116.00 / $6,116.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.00 / $1,487.00 / $2,249.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.16 / $1,282.73 / $1,799.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.13 / $1,266.99 / $2,247.69