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New Jersey 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
$4,466.84 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $2,398.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,174.90
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,471.29 / $16,595.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $7,585.78 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,905.46