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Arkansas 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
$903.17 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.12 / $903.17 / $1,160.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.36 / $3,027.36 / $3,632.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.27 / $1,001.59 / $1,060.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.07 / $3,206.07 / $3,206.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.94 / $1,149.13 / $1,401.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.63 / $1,013.01 / $1,501.03