go back

Arizona 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
$2,041.74 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $776.25 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,073.80 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $794.33 / $1,380.38