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Maine 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
$627.48 / $794.46 / $947.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.56 / $1,020.49 / $1,461.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.11 / $1,139.78 / $1,629.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.66 / $1,104.54 / $1,694.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.48 / $901.01 / $947.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.84 / $1,036.20 / $1,339.91