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Washington, DC 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
$1,017.00 / $4,100.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.70 / $702.70 / $1,780.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.67 / $760.88 / $7,812.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.79 / $1,406.63 / $1,861.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.88 / $1,550.52 / $1,550.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.21 / $878.97 / $1,877.26