go back

Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.43 / $689.43 / $3,654.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.34 / $5,385.17 / $10,416.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.15 / $1,137.21 / $1,516.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.31 / $1,665.75 / $2,221.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.43 / $1,215.54 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.21 / $1,521.61 / $2,066.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,857.83 / $3,000.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.02 / $1,685.57 / $2,221.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.21 / $1,576.49 / $1,982.63