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Minnesota 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
$670.98 / $670.98 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.52 / $680.67 / $1,057.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,071.35 / $5,939.08 / $11,966.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.69 / $1,890.18 / $2,466.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.78 / $2,312.42 / $5,562.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.43 / $1,955.27 / $2,903.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.62 / $2,114.11 / $4,380.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.28 / $1,748.14 / $2,663.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.85 / $1,251.42 / $3,991.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.19 / $1,311.54 / $2,648.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,121.00 / $5,499.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.19 / $1,264.76 / $2,527.84