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Tennessee 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
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.93 / $768.87 / $1,200.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.18 / $991.08 / $1,589.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.12 / $1,067.88 / $1,639.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.00 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,151.33 / $6,354.32 / $6,549.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.28 / $923.88 / $1,597.18