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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.88 / $762.53 / $2,806.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.64 / $967.00 / $1,458.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.09 / $1,044.56 / $1,626.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.59 / $1,210.22 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.48 / $1,096.33 / $6,151.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,347.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.25 / $995.93 / $1,609.53