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Oklahoma 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
$1,000.00 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $776.25 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $9,120.11 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,445.44 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,265.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,122.02