go back

Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.65 / $1,090.00 / $1,533.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.35 / $1,140.00 / $1,419.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.67 / $1,524.47 / $1,840.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.08 / $1,348.45 / $1,760.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,054.54 / $1,326.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.98 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.94 / $1,530.28 / $1,760.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.10 / $1,122.67 / $1,597.65