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Alabama 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
$1,023.29 / $1,513.56 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,818.38 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,630.78 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,380.38