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Alaska rates for HCPCS 25265

Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.28 / $3,654.95 / $3,654.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.20 / $2,451.26 / $3,241.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.17 / $3,654.95 / $5,116.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.85 / $2,247.42 / $4,562.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,683.75 / $3,713.48 / $4,592.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.17 / $3,654.95 / $5,116.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.65 / $3,670.30 / $4,789.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.02 / $3,431.79 / $4,314.24