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Delaware 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
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.03 / $668.56 / $668.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.57 / $1,732.57 / $1,732.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.13 / $749.81 / $1,212.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.21 / $858.67 / $1,519.25