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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
$1,482.87 / $3,477.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.34 / $726.12 / $1,492.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.71 / $908.24 / $1,135.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.46 / $948.89 / $1,472.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.48 / $1,060.30 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.20 / $871.04 / $6,151.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.28 / $796.10 / $1,601.19