go back

Alaska rates for HCPCS 25274

Repair, tendon or muscle, extensor, 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
$2,236.00 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.50 / $3,250.27 / $3,250.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.55 / $2,177.44 / $2,882.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.29 / $3,250.27 / $4,550.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.38 / $1,991.25 / $4,042.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.00 / $3,300.68 / $4,054.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.29 / $3,250.27 / $4,550.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.66 / $3,262.30 / $4,259.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.96 / $1,741.96 / $3,832.31