go back

North Dakota 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
$662.64 / $662.64 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.16 / $670.98 / $694.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.81 / $1,479.29 / $1,740.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.63 / $1,655.73 / $2,205.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.64 / $957.20 / $1,276.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.35 / $1,231.36 / $1,717.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.56 / $1,225.83 / $1,523.63