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Arkansas 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
$802.99 / $1,517.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.03 / $802.99 / $1,053.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.64 / $1,061.64 / $1,061.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.36 / $3,027.36 / $3,632.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.85 / $888.56 / $940.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.07 / $3,206.07 / $3,206.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.51 / $1,031.91 / $1,243.42
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.89 / $1,220.89 / $1,220.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,268.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.76 / $901.81 / $1,322.11