go back

Montana 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
$717.25 / $797.93 / $3,939.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.24 / $1,207.24 / $1,207.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.24 / $1,207.24 / $1,207.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.99 / $1,207.24 / $1,255.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.14 / $822.44 / $1,207.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.70 / $1,204.57 / $1,563.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.39 / $1,230.61 / $1,381.75