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Kansas 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
$2,757.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.57 / $677.62 / $1,061.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $1,492.44 / $1,570.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.32 / $1,182.73 / $1,182.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.65 / $891.39 / $1,419.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.62 / $1,067.77 / $6,239.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.72 / $931.49 / $5,932.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,946.00 / $6,307.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.13 / $831.07 / $1,409.99