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Massachusetts 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
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.54 / $694.99 / $1,057.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,402.00 / $9,401.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.79 / $1,310.02 / $6,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.81 / $1,189.56 / $1,916.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.46 / $1,467.22 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.39 / $941.67 / $1,291.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.50 / $1,666.21 / $2,197.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.03 / $606.03 / $606.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,268.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.82 / $1,339.48 / $6,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.18 / $1,210.89 / $2,169.94