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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.80 / $645.16 / $3,470.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.96 / $805.66 / $1,007.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.40 / $858.92 / $1,341.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.97 / $950.76 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.38 / $777.42 / $5,932.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.89 / $726.94 / $1,364.34