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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
$1,150.00 / $3,821.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.48 / $787.81 / $797.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,271.00 / $9,962.39 / $15,740.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.70 / $970.38 / $1,159.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.95 / $1,009.94 / $1,239.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.81 / $1,126.57 / $6,840.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.29 / $874.02 / $6,151.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.34 / $802.55 / $1,153.95