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North Carolina 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
$651.60 / $1,245.00 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.60 / $687.12 / $1,225.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.51 / $1,258.41 / $1,898.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $2,710.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.80 / $1,098.10 / $1,679.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.60 / $940.67 / $1,512.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.00 / $823.00 / $872.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.10 / $1,023.13 / $1,119.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.67 / $919.25 / $1,776.85
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.64 / $8,957.00 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,780.40 / $6,128.61 / $6,128.61