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Texas 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
$788.00 / $3,224.00 / $11,453.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.57 / $766.31 / $1,298.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,491.08 / $4,325.17 / $8,431.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.86 / $882.05 / $1,201.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $670.25 / $679.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.51 / $861.51 / $861.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.99 / $1,016.82 / $1,556.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.00 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,151.33 / $6,354.32 / $6,549.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.01 / $1,016.82 / $1,573.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.43 / $1,123.71 / $1,393.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.14 / $1,244.44 / $2,712.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.11 / $1,024.56 / $1,637.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.04 / $1,078.00 / $1,602.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.32 / $808.78 / $1,297.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.37 / $725.17 / $1,008.44