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Indiana 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
$624.45 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.66 / $647.87 / $1,010.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $7,833.00 / $14,645.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.35 / $945.00 / $1,304.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.35 / $794.76 / $917.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.35 / $733.62 / $917.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.90 / $960.88 / $1,567.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,348.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.20 / $756.76 / $1,352.42