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Florida 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
$599.59 / $4,790.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.37 / $668.11 / $887.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.00 / $1,574.05 / $1,873.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.54 / $870.81 / $1,400.55
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.61 / $668.58 / $895.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $492.00 / $876.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,774.00 / $8,301.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.29 / $733.67 / $1,317.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.92 / $523.92 / $669.23