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California 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
$1,992.00 / $7,648.00 / $18,309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.37 / $679.30 / $3,501.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,484.00 / $17,774.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.51 / $1,017.92 / $1,953.54
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,686.74
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.00 / $885.71 / $1,933.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $3,101.23 / $5,554.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.66 / $970.08 / $1,890.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.22 / $794.47 / $1,072.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.27 / $884.83 / $1,588.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.64 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,780.40 / $5,932.82 / $6,128.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.81 / $903.06 / $1,313.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.73 / $1,008.35 / $1,804.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,172.65 / $2,172.65 / $2,172.65
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.29 / $706.60 / $881.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,331.00 / $9,713.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.28 / $726.84 / $1,480.04