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Kansas 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
$2,070.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.96 / $762.53 / $1,193.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.00 / $1,332.33 / $1,402.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.75 / $1,192.65 / $1,192.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.32 / $1,001.79 / $1,584.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.53 / $1,193.10 / $6,239.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.49 / $1,022.45 / $6,151.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,946.00 / $6,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.17 / $945.44 / $1,314.72