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Indiana 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
$1,096.48 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $758.58 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $1,659.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $758.58 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,513.56 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,479.11