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Maryland 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
Professional
Modifier
Low / Median / High Price
$672.57 / $782.40 / $1,375.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.63 / $816.96 / $898.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.59 / $1,060.05 / $1,724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.10 / $1,037.29 / $1,479.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.96 / $885.77 / $1,557.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.74 / $924.71 / $1,135.43