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Vermont 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
Professional
Modifier
Low / Median / High Price
$888.83 / $938.15 / $938.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.07 / $1,328.56 / $2,702.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.49 / $1,300.15 / $1,682.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.10 / $1,168.07 / $1,682.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.19 / $1,111.59 / $3,071.39