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West Virginia 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
$735.31 / $1,155.81 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.25 / $790.55 / $1,122.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.78 / $895.09 / $975.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.69 / $866.86 / $866.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.51 / $861.51 / $861.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.89 / $1,143.85 / $2,132.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.28 / $1,043.49 / $1,507.54