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North Carolina 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
$735.44 / $1,245.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.25 / $769.03 / $1,376.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.55 / $1,386.37 / $2,130.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $2,710.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.63 / $1,214.57 / $1,876.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.44 / $1,078.00 / $1,662.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $930.00 / $982.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,151.75 / $1,260.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.29 / $1,013.53 / $1,818.53
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.00 / $8,957.00 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,354.32 / $6,354.32 / $6,549.90